From the 9/10/2021 release of VAERS data:
This is VAERS ID 1375328
| Days after vaccination:||0
|Vaccination / Manufacturer
||Lot / Dose
||Site / Route|
|COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA
||050C21A / 2
||RA / SYR
Administered by: Pharmacy Purchased by: ?
SMQs:, Anaphylactic reaction (broad), Dementia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad)
Life Threatening? No
Birth Defect? No
Permanent Disability? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Other Medications: Customer not a patient for rite aid. He says he is on diabetic medication and anxiety medicines.
Current Illness: unknown
Preexisting Conditions: diabetic and mood
Diagnostic Lab Data: none
CDC Split Type:
Write-up: Pt experienced extreme panic attack right after vaccination. Contacted 911, and paramedics were dispatched from Delaware County Memorial Hospital. Pt alleges he "can''t breathe and don''t feel right. Never felt like this before." Epipen was really to be administered.
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