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

This is VAERS ID 908738



Case Details

VAERS ID: 908738 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: Colorado  
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 025J20-2A / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Dizziness, Dysphonia, Sensation of foreign body
SMQs:, Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Vestibular disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: Possible UTI- Did UA 12/23 Had Urgency
Preexisting Conditions: None
Allergies: Betadine
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Pt states had some dizziness about 1/2 hr after Immunization Then started to have like a lump in throat- "Frog in throat" Provider ordered IV and NS with 25mg Benadryl PO Pt had no other complaints was transferred to ER per Emergency provider consult


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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=908738

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