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|History of Changes from the VAERS Wayback Machine|
|Vaccination / Manufacturer||Lot / Dose||Site / Route|
|COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA||009D21A / 1||LA / IM|
Administered by: Pharmacy Purchased by: ??
Symptoms: Headache, Nausea, Throat irritation, Eye 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)? Yes
Other Medications: ortho cycline
Current Illness: unknown
Preexisting Conditions: unknown
Diagnostic Lab Data: unknown
CDC 'Split Type':
Write-up: Pt received the vaccine 07/01/21 at 9:50. pt went home after the shot. she called the pharmacy at 11:20 stating that she was nauseous, headache, itchy eyes and scratchy throat. pe pt discussion in the past she had and allergy to benedryl (paridoxical rxn with benedryl causing anaphylaxis). due to this I instructed her to go to the ER and seek treatment.
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