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This is VAERS ID 1377787

History of Changes from the VAERS Wayback Machine

First Appeared on 6/11/2021

VAERS ID: 1377787
VAERS Form:2
Age:45.0
Sex:Female
Location:Georgia
Vaccinated:2021-06-04
Onset:2021-06-04
Submitted:0000-00-00
Entered:2021-06-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 036B21A / 2 RA / IM

Administered by: Public      Purchased by: ??
Symptoms: Blood pressure increased, Chest discomfort, Palpitations, Cardiac flutter, Oropharyngeal discomfort

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Protonix
Current Illness: None
Preexisting Conditions: Migraines, GERD
Allergies: NKA
Diagnostic Lab Data:
CDC 'Split Type': N/A

Write-up: Patient reported palpitations, throats feels "funny", heart fluttering, heavy chest @ 9:19a. EMS called @ 9:22a. Diphenhydramine 12.5 mg PO administered @ 9:23a. Symptoms resolved in throat per patient @ 9:28a. Patients blood pressure was elevated at 9:20a at 154/111, pulse 85, O2 Sat 97% on outside air, respirations 16. EMS arrived at 9:32a. Patient not transported to hospital. EMS departed. Patients status when leaving was A+O x 4, clear speech, walking, all symptoms resolved.

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