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From the 11/26/2021 release of VAERS data:

This is VAERS ID 906550

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Case Details

VAERS ID: 906550 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: Colorado  
Vaccinated:2020-12-22
Onset:2020-12-22
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 011J20A / 1 RA / IM

Administered by: Military       Purchased by: ?
Symptoms: Dizziness, Immediate post-injection reaction
SMQs:, Anticholinergic syndrome (broad), Vestibular disorders (broad), Hypersensitivity (narrow)

Life Threatening? No
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:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Upon initial injection (0940)pt reported some lightheadedness, pt sat for aprox 20 min and then stated feeling better. She returned to her clinic to work and at 1030, reported return of s/s with increased severity. She was brought back to vaccination area an evaluated by MD, given 50mg of po liquid Benadryl and then taken to ED via WC. VS: 155/77, 105, 18, 96% on room air.


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