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|History of Changes from the VAERS Wayback Machine|
|Vaccination / Manufacturer||Lot / Dose||Site / Route|
|COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA||026B21A / 2||LA / IM|
Administered by: Private Purchased by: ??
Symptoms: Anxiety, Pruritus
Life Threatening? No
Birth Defect? No
Permanent Disability? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Current Illness: allergic rhinitis benign essential hypertension body mass index 30+ - obesity nonulcer dyspepsia systemic vasculitis
Allergies: Amoxicillin and Lisinopril
Diagnostic Lab Data: N/A
CDC 'Split Type':
Write-up: Itchiness started about 5 minutes after receiving the vaccine, patient was anxious. Diphenhydramine Hcl 25mg tablet given to patient, monitored for an additional 15 mins after medication was taken. Patient felt better, itchiness resolved, no other symptoms reported. Patient left the clinic at 4:23pm.
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