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From the 10/15/2021 release of VAERS data:

This is VAERS ID 908538



Case Details

VAERS ID: 908538 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: Ohio  
Vaccinated:2020-12-23
Onset:2020-12-23
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 039K20-2A / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Dysgeusia, Sensation of foreign body, Throat irritation
SMQs:, Anaphylactic reaction (broad), Taste and smell disorders (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow)

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Sensation of lump in the throat and metallic taste in mouth approx. 10 minutes post vaccination while still in Vaccine Observation area. VS normal and stable. O2Sat 100%. Evaluated by on site physician. Received diphenhydramine 25mg PO at clinic. Remained stable and D/C''d home. F/U telephone call 12/24/2020. States additional 25mg diphenhydramine at home in "evening" for "Scratchy" throat. No problems overnight and all sxs resolved in AM of 12/24 2020.


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