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This is VAERS ID 908675

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History of Changes from the VAERS Wayback Machine

First Appeared on 1/7/2021

VAERS ID: 908675
VAERS Form:2
Age:43.0
Sex:Female
Location:Iowa
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 025J20-2A / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Anxiety, Chest discomfort, Pharyngeal oedema, Tachycardia, Throat irritation, Throat tightness, Palatal oedema, Throat clearing

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: IVP dye
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Pt received vaccine at 1210. At 1220 said her throat was feeling a little scratchy. She stated that it just felt like she "needed to clear her throat". NP was called to assist, evaluated and epinephrine 0.3ml IM was given. Benadryl 50mg and Zantac 40 mg was also given po. Pt was monitored, 9-1-1 was called and arrived in 10 minutes. Pt was sitting up, stating that it just "feels like my throat is thick". After EMS arrived and assessed pt, she began to ease her anxiety and stated she was feeling less tightness and felt better. Pt was observed, VSS. She denied going to the hospital stating she was feeling better so called for a ride home. EMS left and within 10 minutes she began to feel a tightening sensation in her upper chest, not in her throat this time. She said she felt the tightness again and the back of her throat was scratchy. NP evaluated, Epi 0.3ml IM was given again and 9-1-1 was called again. Upon arrival her vitals were stable, although tachycardic running 100-120 after the epi, but her breathing was not labored or difficult. EMS loaded pt and took to hospital for evaluation where she was monitored, received IV steroids for edema in the back of throat and uvula.


Changed on 5/7/2021

VAERS ID: 908675 Before After
VAERS Form:2
Age:43.0
Sex:Female
Location:Iowa
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 025J20-2A / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Anxiety, Chest discomfort, Pharyngeal oedema, Tachycardia, Throat irritation, Throat tightness, Palatal oedema, Throat clearing

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: IVP dye dye
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Pt received vaccine at 1210. At 1220 said her throat was feeling a little scratchy. She stated that it just felt like she "needed to clear her throat". NP was called to assist, evaluated and epinephrine 0.3ml IM was given. Benadryl 50mg and Zantac 40 mg was also given po. Pt was monitored, 9-1-1 was called and arrived in 10 minutes. Pt was sitting up, stating that it just "feels like my throat is thick". After EMS arrived and assessed pt, she began to ease her anxiety and stated she was feeling less tightness and felt better. Pt was observed, VSS. She denied going to the hospital stating she was feeling better so called for a ride home. EMS left and within 10 minutes she began to feel a tightening sensation in her upper chest, not in her throat this time. She said she felt the tightness again and the back of her throat was scratchy. NP evaluated, Epi 0.3ml IM was given again and 9-1-1 was called again. Upon arrival her vitals were stable, although tachycardic running 100-120 after the epi, but her breathing was not labored or difficult. EMS loaded pt and took to hospital for evaluation where she was monitored, received IV steroids for edema in the back of throat and uvula.


Changed on 5/14/2021

VAERS ID: 908675 Before After
VAERS Form:2
Age:43.0
Sex:Female
Location:Iowa
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 025J20-2A / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Anxiety, Chest discomfort, Pharyngeal oedema, Tachycardia, Throat irritation, Throat tightness, Palatal oedema, Throat clearing

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: IVP dye dye
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Pt received vaccine at 1210. At 1220 said her throat was feeling a little scratchy. She stated that it just felt like she "needed to clear her throat". NP was called to assist, evaluated and epinephrine 0.3ml IM was given. Benadryl 50mg and Zantac 40 mg was also given po. Pt was monitored, 9-1-1 was called and arrived in 10 minutes. Pt was sitting up, stating that it just "feels like my throat is thick". After EMS arrived and assessed pt, she began to ease her anxiety and stated she was feeling less tightness and felt better. Pt was observed, VSS. She denied going to the hospital stating she was feeling better so called for a ride home. EMS left and within 10 minutes she began to feel a tightening sensation in her upper chest, not in her throat this time. She said she felt the tightness again and the back of her throat was scratchy. NP evaluated, Epi 0.3ml IM was given again and 9-1-1 was called again. Upon arrival her vitals were stable, although tachycardic running 100-120 after the epi, but her breathing was not labored or difficult. EMS loaded pt and took to hospital for evaluation where she was monitored, received IV steroids for edema in the back of throat and uvula.

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