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From the 9/17/2021 release of VAERS data:

This is VAERS ID 903324

Case Details

VAERS ID: 903324 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Female  
Location: California  
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Private       Purchased by: ?
Symptoms: Dysphagia, Oropharyngeal discomfort, Pharyngeal swelling, Throat irritation, Throat tightness, Tongue discomfort
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: TDaP, age 20 swollen arm at injection site.
Other Medications: 2 flintStones gummies Childrens multivitamin supplement daily.
Current Illness: None
Preexisting Conditions: Asthma
Allergies: Latex
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: 40 min after injection my throat and tongue started to feel weird and tight, pharmacy at my work hospital gave me 25 mg Benadryl and 650mg Tylenol. At about 1 hr 45 min after injection my throat got to the point of so swollen and itchy I couldn?t swallow. I went to nearest emergency room hospital they administered decadron orally, Pepcid P.O., and Toradol via IM.

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