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This is VAERS ID 908738

History of Changes from the VAERS Wayback Machine

First Appeared on 1/7/2021

VAERS ID: 908738
VAERS Form:2
Age:32.0
Sex:Female
Location:Colorado
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 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Dizziness, Dysphonia, Sensation of foreign body

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? 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


Changed on 5/7/2021

VAERS ID: 908738 Before After
VAERS Form:2
Age:32.0
Sex:Female
Location:Colorado
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 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Dizziness, Dysphonia, Sensation of foreign body

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: Possible UTI- Did UA 12/23 Had Urgency
Preexisting Conditions: None
Allergies: Betadine 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


Changed on 5/14/2021

VAERS ID: 908738 Before After
VAERS Form:2
Age:32.0
Sex:Female
Location:Colorado
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 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Dizziness, Dysphonia, Sensation of foreign body

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: Possible UTI- Did UA 12/23 Had Urgency
Preexisting Conditions: None
Allergies: Betadine 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&WAYBACKHISTORY=ON

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