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This is VAERS ID 924657

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History of Changes from the VAERS Wayback Machine

First Appeared on 1/22/2021

VAERS ID: 924657
VAERS Form:2
Age:67.0
Sex:Female
Location:Ohio
Vaccinated:2021-01-05
Onset:2021-01-05
Submitted:0000-00-00
Entered:2021-01-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 011J20A / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Asthenia, Dizziness, Dysphagia, Dyspnoea, Erythema, Fear, Headache, Lip swelling, Nausea, Pain, Pruritus, Retching, Swollen tongue, Throat tightness, Decreased appetite, Tongue pruritus, Pharyngeal swelling

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: swine flu vaccine 1978? was very sick and couldn''t walk well
Other Medications: atenolol 25 mg per day, claritin 10 mg per day, evamist one spray per day, pepcid 20 mg per day, vit b12 3000 mcg per day, vit d 5000 units per day, prenatal gummy vitamin one per day,tylenol 500 mg per day, benadryl 50 mg per day
Current Illness: none
Preexisting Conditions: chronic gastritis, tachycardia, kidney stones. food allergies
Allergies: aspirin, NSAIDS, flexeril, percocet, thiomerosol in any product, caffeine or stimulants, allergic to milk, ?to eggs, ?to bluberries and strawberries, severe to cheese esp cheddar, ?to onions, ? to garlic, ?to grapes, severe intolerance to alcohol
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: 5 minutes after injection, my feet and palms itched and I was lightheaded but I tried to shake it off and it faded over the next 10 minutes. I did report it and stayed longer and was ok. Then i went straight home and layed down because i did not sleep well night before (was on call ) i awoke 1 hour post injection dry heaving, very nauseated, mild headache, achy, itchy over different parts of my body and weak. Sat up and my face was getting itchier, lips started to swell, tongue started to swell and itch, throat felt like someone was strangling me, had trouble swallowing and trouble breathing. took 2 benadryls immediately and went out into cold air, thought about calling 911 but got better in 10-15 minutes. never have had a reaction like this in my life. have had hives though in the past. If I would have had an epi pen I would have used it (never have had an epi pen) I was frightened but the benadryl worked and I slept due to the benadryl for 5 hours, when I woke up the benadryl wore off and it started again. took more benadryl, and it improved. before bedtime, the benadryl wore off and I had a hard time swallowing my night time meds like my throat was swollen. Took 2 more benadryls, today I am weak and nauseated and ate very little and feel like my face is still red and itchy. I told my sister and she said she is allergic to PEG which i later noted was in the vaccine. i am very disappointed that I had this reaction- I have desparately wanted this vaccine as a medical worker with a lot of covid patients- I onlu hopr this one shot will protect me enough because it is clear to me that i cannot take this vaccine again.


Changed on 5/7/2021

VAERS ID: 924657 Before After
VAERS Form:2
Age:67.0
Sex:Female
Location:Ohio
Vaccinated:2021-01-05
Onset:2021-01-05
Submitted:0000-00-00
Entered:2021-01-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 011J20A / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Asthenia, Dizziness, Dysphagia, Dyspnoea, Erythema, Fear, Headache, Lip swelling, Nausea, Pain, Pruritus, Retching, Swollen tongue, Throat tightness, Decreased appetite, Tongue pruritus, Pharyngeal swelling

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: swine flu vaccine 1978? was very sick and couldn''t walk well
Other Medications: atenolol 25 mg per day, claritin 10 mg per day, evamist one spray per day, pepcid 20 mg per day, vit b12 3000 mcg per day, vit d 5000 units per day, prenatal gummy vitamin one per day,tylenol 500 mg per day, benadryl 50 mg per day
Current Illness: none
Preexisting Conditions: chronic gastritis, tachycardia, kidney stones. food allergies
Allergies: aspirin, NSAIDS, flexeril, percocet, thiomerosol in any product, caffeine or stimulants, allergic to milk, ?to eggs, ?to bluberries and strawberries, severe to cheese esp cheddar, ?to onions, ? to garlic, ?to grapes, severe intolerance to alcohol alcohol
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: 5 minutes after injection, my feet and palms itched and I was lightheaded but I tried to shake it off and it faded over the next 10 minutes. I did report it and stayed longer and was ok. Then i went straight home and layed down because i did not sleep well night before (was on call ) i awoke 1 hour post injection dry heaving, very nauseated, mild headache, achy, itchy over different parts of my body and weak. Sat up and my face was getting itchier, lips started to swell, tongue started to swell and itch, throat felt like someone was strangling me, had trouble swallowing and trouble breathing. took 2 benadryls immediately and went out into cold air, thought about calling 911 but got better in 10-15 minutes. never have had a reaction like this in my life. have had hives though in the past. If I would have had an epi pen I would have used it (never have had an epi pen) I was frightened but the benadryl worked and I slept due to the benadryl for 5 hours, when I woke up the benadryl wore off and it started again. took more benadryl, and it improved. before bedtime, the benadryl wore off and I had a hard time swallowing my night time meds like my throat was swollen. Took 2 more benadryls, today I am weak and nauseated and ate very little and feel like my face is still red and itchy. I told my sister and she said she is allergic to PEG which i later noted was in the vaccine. i am very disappointed that I had this reaction- I have desparately wanted this vaccine as a medical worker with a lot of covid patients- I onlu hopr this one shot will protect me enough because it is clear to me that i cannot take this vaccine again.


Changed on 5/21/2021

VAERS ID: 924657 Before After
VAERS Form:2
Age:67.0
Sex:Female
Location:Ohio
Vaccinated:2021-01-05
Onset:2021-01-05
Submitted:0000-00-00
Entered:2021-01-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 011J20A / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Asthenia, Dizziness, Dysphagia, Dyspnoea, Erythema, Fear, Headache, Lip swelling, Nausea, Pain, Pruritus, Retching, Swollen tongue, Throat tightness, Decreased appetite, Tongue pruritus, Pharyngeal swelling

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: swine flu vaccine 1978? was very sick and couldn''t walk well
Other Medications: atenolol 25 mg per day, claritin 10 mg per day, evamist one spray per day, pepcid 20 mg per day, vit b12 3000 mcg per day, vit d 5000 units per day, prenatal gummy vitamin one per day,tylenol 500 mg per day, benadryl 50 mg per day
Current Illness: none
Preexisting Conditions: chronic gastritis, tachycardia, kidney stones. food allergies
Allergies: aspirin, NSAIDS, flexeril, percocet, thiomerosol in any product, caffeine or stimulants, allergic to milk, ?to eggs, ?to bluberries and strawberries, severe to cheese esp cheddar, ?to onions, ? to garlic, ?to grapes, severe intolerance to alcohol alcohol
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: 5 minutes after injection, my feet and palms itched and I was lightheaded but I tried to shake it off and it faded over the next 10 minutes. I did report it and stayed longer and was ok. Then i went straight home and layed down because i did not sleep well night before (was on call ) i awoke 1 hour post injection dry heaving, very nauseated, mild headache, achy, itchy over different parts of my body and weak. Sat up and my face was getting itchier, lips started to swell, tongue started to swell and itch, throat felt like someone was strangling me, had trouble swallowing and trouble breathing. took 2 benadryls immediately and went out into cold air, thought about calling 911 but got better in 10-15 minutes. never have had a reaction like this in my life. have had hives though in the past. If I would have had an epi pen I would have used it (never have had an epi pen) I was frightened but the benadryl worked and I slept due to the benadryl for 5 hours, when I woke up the benadryl wore off and it started again. took more benadryl, and it improved. before bedtime, the benadryl wore off and I had a hard time swallowing my night time meds like my throat was swollen. Took 2 more benadryls, today I am weak and nauseated and ate very little and feel like my face is still red and itchy. I told my sister and she said she is allergic to PEG which i later noted was in the vaccine. i am very disappointed that I had this reaction- I have desparately wanted this vaccine as a medical worker with a lot of covid patients- I onlu hopr this one shot will protect me enough because it is clear to me that i cannot take this vaccine again.

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