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From the 11/19/2021 release of VAERS data:

This is VAERS ID 1745254

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Case Details

VAERS ID: 1745254 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: New York  
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Public       Purchased by: ?
Symptoms: Dizziness, Pharyngeal erythema, Throat irritation, Throat tightness
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Vestibular disorders (broad), Hypersensitivity (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Asthma
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient complained of dizziness, itching of throat during observation. Vital signs initiated, patient throat assessed, redness of throat observed. Patient reported slight tightness only when swallowing, no shortness of breath. Patient remained AOX3, denied any SOB, vital signs remained stable, head clinician present during Intramuscular (right Deltoid) administration and confirmed dose. Benadryl administered to patient at 12:48 pm. Observation was extended for additional 50 minutes, Vital signs assessed through out stay. Patient reported dizziness has subsided, patient reported itching of throat has subsided 4 minutes after IM Benadryl was administered. Vital signs WNL. Patient was able to stand up, ambulate on her own. Patient reported symptoms has resolved. Patient left facility at 1:43 pm, in no distress.

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