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

This is VAERS ID 908590



Case Details

VAERS ID: 908590 (history)  
Form: Version 2.0  
Age: 43.0  
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 - / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Dizziness, Dyspnoea, Flushing, Throat irritation
SMQs:, Anaphylactic reaction (narrow), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypersensitivity (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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: "Scratchy" throat, dizzy, shortness of breath, and flushed approx. 10 minutes post vaccination. Evaluated onsite at vaccine clinic by physician. Received diphenhydramine 25MG PO. VS normal and stable. O2 Sat at 100%. Monitored and observed for 60 minutes and D/C''d in stable condition. Contacted by phone in AM of 12/24/2020 and states all sxs resolved yesterday evening. Will receive 2nd dose of vaccine in hospital Allergy Clinic.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=908590

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