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This is VAERS ID 909536

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History of Changes from the VAERS Wayback Machine

First Appeared on 1/7/2021

VAERS ID: 909536
VAERS Form:2
Age:44.0
Sex:Female
Location:Tennessee
Vaccinated:2020-12-26
Onset:2020-12-26
Submitted:0000-00-00
Entered:2020-12-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 011J20A / 1 LA / IM

Administered by: Public      Purchased by: ??
Symptoms: Dizziness, Flushing, Heart rate increased, Throat tightness

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: Simvastatin (40 mg daily) Levothroxine (75 mcg daily) Pantoprazole (40 mg daily) Advil Vitamin C Vitamin D Daily women''s vitamin
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: None.
CDC 'Split Type':

Write-up: Within two minutes of injection: started feeling flushed, light headed, elevated pulse, and tightening of my throat. Waited 30 minutes at site while physician monitored my symptoms. Flushness, pulse rate and feeling of throat tightness diminished over the 30 minute period and I was released to leave. On the way home I bought Benadryl and took 50 mg. I began to feel more normal 1-2 hours post injection.


Changed on 5/7/2021

VAERS ID: 909536 Before After
VAERS Form:2
Age:44.0
Sex:Female
Location:Tennessee
Vaccinated:2020-12-26
Onset:2020-12-26
Submitted:0000-00-00
Entered:2020-12-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 011J20A / 1 LA / IM

Administered by: Public      Purchased by: ??
Symptoms: Dizziness, Flushing, Heart rate increased, Throat tightness

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: Simvastatin (40 mg daily) Levothroxine (75 mcg daily) Pantoprazole (40 mg daily) Advil Vitamin C Vitamin D Daily women''s vitamin
Current Illness: None
Preexisting Conditions: None
Allergies: None None
Diagnostic Lab Data: None.
CDC 'Split Type':

Write-up: Within two minutes of injection: started feeling flushed, light headed, elevated pulse, and tightening of my throat. Waited 30 minutes at site while physician monitored my symptoms. Flushness, pulse rate and feeling of throat tightness diminished over the 30 minute period and I was released to leave. On the way home I bought Benadryl and took 50 mg. I began to feel more normal 1-2 hours post injection.


Changed on 5/21/2021

VAERS ID: 909536 Before After
VAERS Form:2
Age:44.0
Sex:Female
Location:Tennessee
Vaccinated:2020-12-26
Onset:2020-12-26
Submitted:0000-00-00
Entered:2020-12-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 011J20A / 1 LA / IM

Administered by: Public      Purchased by: ??
Symptoms: Dizziness, Flushing, Heart rate increased, Throat tightness

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: Simvastatin (40 mg daily) Levothroxine (75 mcg daily) Pantoprazole (40 mg daily) Advil Vitamin C Vitamin D Daily women''s vitamin
Current Illness: None
Preexisting Conditions: None
Allergies: None None
Diagnostic Lab Data: None.
CDC 'Split Type':

Write-up: Within two minutes of injection: started feeling flushed, light headed, elevated pulse, and tightening of my throat. Waited 30 minutes at site while physician monitored my symptoms. Flushness, pulse rate and feeling of throat tightness diminished over the 30 minute period and I was released to leave. On the way home I bought Benadryl and took 50 mg. I began to feel more normal 1-2 hours post injection.

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