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This is VAERS ID 1454452

History of Changes from the VAERS Wayback Machine

First Appeared on 7/9/2021

VAERS ID: 1454452
VAERS Form:2
Age:36.0
Sex:Female
Location:Utah
Vaccinated:2021-07-07
Onset:2021-07-07
Submitted:0000-00-00
Entered:2021-07-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA (801)853-3700 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Breast feeding, Throat irritation, Throat tightness, Tongue pruritus

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Aspirin, Levothyroxine, Prenatal Vitamin, Vitamin B complex, Protonix, Flovent, Qvar, Singular
Current Illness:
Preexisting Conditions: Asthma
Allergies: Ciprofoxacin
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Got COVID Moderna vaccine at 8:35 AM. 10 minutes post vaccine felt like tongue was itching, 4/10. 12 minutes felt like throat was tight. Given 25mg of benadryl oral, 18 minutes (8:53 AM) felt like throat was itching. Given IM epi 1mg L hip. HR at 68. Felt like symptoms stopped worsening. Given 25mg of benadryl IM. She is breast feeding, discussed risks of antihistamines drying breast milk, but needed to stop reaction, encouraged good hydration and pumping for the next several days). Tightness resolved, itching improving. Vitals stable. 9:20, itching resolved. Dad here to drive her home and stay with her. He is a retired nurse so she feels good in his care. Discussed emergent care if needed. Discussed that since she had COVID and 1 vaccine, will need to pre-treat with antihistamines before 2nd vaccine, and may want to hold on receiving 2nd vaccine for now. The patient had the following order(s) completed today: Adrenalin epinephrine inject Per .1 MG. Obtained on 07/07/2021, Dose 1 mg via Intramuscular on Left buttock and Diphenhydramine hcl Benadryl (50 Per Unit). Obtained on 07/07/2021, Dose 25 mg via Intramuscular on Right buttock.

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