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

This is VAERS ID 908685



Case Details

VAERS ID: 908685 (history)  
Form: Version 2.0  
Age: 22.0  
Sex: Female  
Location: Arizona  
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 - / UNK - / IM

Administered by: Private       Purchased by: ?
Symptoms: Pharyngeal swelling, Supraventricular tachycardia
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Supraventricular tachyarrhythmias (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Nuvaring
Current Illness: Chronic Tonsillitis Dysmenorrhea
Preexisting Conditions: N/A
Allergies: N.K.A
Diagnostic Lab Data:
CDC Split Type: vsafe

Write-up: throat swelling, SVT


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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=908685

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