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This is VAERS ID 908744

History of Changes from the VAERS Wayback Machine

First Appeared on 1/7/2021

VAERS ID: 908744
VAERS Form:2
Age:56.0
Sex:Female
Location:Maine
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 039K20A / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Dizziness, Feeling abnormal, Flushing, Panic reaction, Tremor, Emotional distress

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: none performed except physical exam.
CDC 'Split Type':

Write-up: at 8:40 am patient felt dizzy and flushed, she asked for extra attention and indicated she felt embarrassed, but denied difficulty breathing, no trouble speaking in full sentences, no rash, no change of vision; BP was 158/108 with pulse of 95 and then patient was brought to a more quiet area and seated in a wheelchair. She was able to ambulate, a nd speak normally, but she said she felt very strange and shaky. she was visibly tremulous. She was seated, and vitals reassessed and her shakiness increased and she felt panicky. She was taken by stretcher to the Emergency room for further observation . in the emergency room, her symptoms gradually subsided. She was able to return to work after an hour of observation.


Changed on 5/7/2021

VAERS ID: 908744 Before After
VAERS Form:2
Age:56.0
Sex:Female
Location:Maine
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 039K20A / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Dizziness, Feeling abnormal, Flushing, Panic reaction, Tremor, Emotional distress

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: none none
Diagnostic Lab Data: none performed except physical exam.
CDC 'Split Type':

Write-up: at 8:40 am patient felt dizzy and flushed, she asked for extra attention and indicated she felt embarrassed, but denied difficulty breathing, no trouble speaking in full sentences, no rash, no change of vision; BP was 158/108 with pulse of 95 and then patient was brought to a more quiet area and seated in a wheelchair. She was able to ambulate, a nd speak normally, but she said she felt very strange and shaky. she was visibly tremulous. She was seated, and vitals reassessed and her shakiness increased and she felt panicky. She was taken by stretcher to the Emergency room for further observation . in the emergency room, her symptoms gradually subsided. She was able to return to work after an hour of observation.


Changed on 5/14/2021

VAERS ID: 908744 Before After
VAERS Form:2
Age:56.0
Sex:Female
Location:Maine
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 039K20A / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Dizziness, Feeling abnormal, Flushing, Panic reaction, Tremor, Emotional distress

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: none none
Diagnostic Lab Data: none performed except physical exam.
CDC 'Split Type':

Write-up: at 8:40 am patient felt dizzy and flushed, she asked for extra attention and indicated she felt embarrassed, but denied difficulty breathing, no trouble speaking in full sentences, no rash, no change of vision; BP was 158/108 with pulse of 95 and then patient was brought to a more quiet area and seated in a wheelchair. She was able to ambulate, a nd speak normally, but she said she felt very strange and shaky. she was visibly tremulous. She was seated, and vitals reassessed and her shakiness increased and she felt panicky. She was taken by stretcher to the Emergency room for further observation . in the emergency room, her symptoms gradually subsided. She was able to return to work after an hour of observation.

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=908744&WAYBACKHISTORY=ON

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