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This is VAERS ID 908697

History of Changes from the VAERS Wayback Machine

First Appeared on 1/7/2021

VAERS ID: 908697
VAERS Form:2
Age:24.0
Sex:Female
Location:South Dakota
Vaccinated:2020-12-24
Onset:2020-12-24
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

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: 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.


Changed on 5/7/2021

VAERS ID: 908697 Before After
VAERS Form:2
Age:24.0
Sex:Female
Location:South Dakota
Vaccinated:2020-12-24
Onset:2020-12-24
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

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: Sertraline 100mg daily Lorazepam PRN Ondansetron 4mg Triamcinolone Cream
Current Illness: None
Preexisting Conditions: Depression with anxiety
Allergies: Sulfa 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.


Changed on 5/14/2021

VAERS ID: 908697 Before After
VAERS Form:2
Age:24.0
Sex:Female
Location:South Dakota
Vaccinated:2020-12-24
Onset:2020-12-24
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

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: Sertraline 100mg daily Lorazepam PRN Ondansetron 4mg Triamcinolone Cream
Current Illness: None
Preexisting Conditions: Depression with anxiety
Allergies: Sulfa 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&WAYBACKHISTORY=ON

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