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From the 1/14/2022 release of VAERS data:

This is VAERS ID 903527

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Case Details

VAERS ID: 903527 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: Arizona  
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Private       Purchased by: ?
Symptoms: Chest discomfort
SMQs:, Anaphylactic reaction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Metformin, Glipizide, Nifedipine, Ferrous Sulfate, Cyanocobalamin, Pantoprazole, Cholecalciferol, Cetirizine, Montelukast
Current Illness: Sinus infection and urinary tract infection.
Preexisting Conditions: Diabetes, Hypertension, Chronic Sinusitis, Asthma
Allergies: Codeine, Reglan, Coconuts, Sage, Rabbit Brush, Oak tree, Juniper tree, Pine tree, Pinon tree, Cottonwood tree, Various types of mold strains.
Diagnostic Lab Data:
CDC Split Type:

Write-up: After receiving injection 14-15 minutes after I started to get chest tightness. I took two puffs of inhaler and walked to triage room to be monitored for another twenty minutes. I took two more puffs of inhaler and chest tightness went away a few minutes after. No other reactions occurred and was cleared to leave after twenty minutes.

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