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This is VAERS ID 908538

History of Changes from the VAERS Wayback Machine

First Appeared on 1/7/2021

VAERS ID: 908538
VAERS Form:2
Age:33.0
Sex:Female
Location:Ohio
Vaccinated:2020-12-23
Onset:2020-12-23
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, Throat irritation, Sensation of foreign body

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? 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.


Changed on 5/7/2021

VAERS ID: 908538 Before After
VAERS Form:2
Age:33.0
Sex:Female
Location:Ohio
Vaccinated:2020-12-23
Onset:2020-12-23
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, Throat irritation, Sensation of foreign body

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? 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.


Changed on 5/14/2021

VAERS ID: 908538 Before After
VAERS Form:2
Age:33.0
Sex:Female
Location:Ohio
Vaccinated:2020-12-23
Onset:2020-12-23
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, Throat irritation, Sensation of foreign body

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? 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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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=908538&WAYBACKHISTORY=ON

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