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

This is VAERS ID 908697



Case Details

VAERS ID: 908697 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Female  
Location: South Dakota  
Vaccinated:2020-12-24
Onset:2020-12-24
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025J20-2A / 1 RA / IM

Administered by: Other       Purchased by: ?
Symptoms: Feeling hot, Flushing, Hyperhidrosis, Nausea, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (broad), Hypoglycaemia (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: Sertraline 100mg daily Lorazepam PRN Ondansetron 4mg Triamcinolone Cream
Current Illness: None
Preexisting Conditions: Depression with anxiety
Allergies: Sulfa
Diagnostic Lab Data: none
CDC Split Type:

Write-up: Approximately 5 minutes after vaccination, patient became diaphoretic and warm/flushed. Complained of nausea and had one episode of emesis. Patient given 50mg of diphenhydramine orally.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=908697

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