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This is VAERS ID 1689234

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History of Changes from the VAERS Wayback Machine

First Appeared on 9/17/2021

VAERS ID: 1689234
VAERS Form:2
Age:42.0
Sex:Female
Location:Unknown
Vaccinated:2021-09-09
Onset:2021-09-10
Submitted:0000-00-00
Entered:2021-09-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Unknown      Purchased by: ??
Symptoms: Nausea, Vomiting, Urine analysis normal

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: Gabapentin, ibuprofen, omeprazole
Current Illness:
Preexisting Conditions: ADHD, Depression
Allergies: Darvocet, Morphine, Percocet, and Vicodin all with reported anaphylaxis reactions
Diagnostic Lab Data: Urinalysis was negative
CDC 'Split Type':

Write-up: Patient presented to the Emergency Department at our facility with approximately 4 hours of vomiting and nausea after receiving the second vaccination for Covid yesterday. She was monitored and treated with Phenergan, Toradol, and Benadryl prior to discharge back home.

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