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This is VAERS ID 1745254

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/1/2021

VAERS ID: 1745254
VAERS Form:2
Age:37.0
Sex:Female
Location:New York
Vaccinated:2021-09-29
Onset:2021-09-29
Submitted:0000-00-00
Entered:2021-09-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FF2589 / 1 LA / IM

Administered by: Public      Purchased by: ??
Symptoms: Dizziness, Throat irritation, Throat tightness, Pharyngeal erythema

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Asthma
Allergies:
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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