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

This is VAERS ID 906960

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Case Details

VAERS ID: 906960 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: North Dakota  
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 025J20-2A / 1 LA / -

Administered by: Private       Purchased by: ?
Symptoms: Cold sweat, Dizziness, Feeling hot
SMQs:, Anticholinergic syndrome (broad), Vestibular disorders (broad), Hypoglycaemia (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: Multivitamin
Current Illness: None
Preexisting Conditions: None
Allergies: Seasonal Allergies and Methimazole [Thiamazole]
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Patient describes feeling hot, clammy and lightheaded about 5 minutes after vaccine administration. BP:109/69 P:72 O2Sa:100% Patient states that injection site feels ok. Got patient a juice and had her sit for another 15 minutes. BP: 118/63 P:74 O2Sa: 99% Patient has normal hand and arm strength bi -lat. After patient had cold juice and was able to breath without her mask on she felt much better. Patient was able to stand and walk without dizziness. Patient stated the she did not feel she needed further treatment.


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