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From the 1/14/2022 release of VAERS data:

This is VAERS ID 930175

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Case Details

VAERS ID: 930175 (history)  
Form: Version 2.0  
Age: 18.0  
Sex: Female  
Location: Kansas  
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Unknown       Purchased by: ?
Symptoms: Throat tightness
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Notes COVID VACCINE CLINIC Subjective Patient is a 18 y.o. female who was seen at COVID Vaccine Clinic today for her second dose of the COVID 19 vaccination. She denied any history of previous adverse reactions to vaccines and denies reaction to her first dose. She was given the Pfizer vaccination in the left deltoid muscle. During her 15 minute waiting period after the injection, the patient began to experience throat tightness. She denied difficulty breathing, difficulty swallowing, wheezing, lightheadedness, dizziness, facial swelling, lip swelling and tongue swelling. This provider was notified of patient reaction and she was then assessed in the emergency bay area. Monitored patient for severe reaction symptoms, including but not limited to rapid progression of symptoms and tongue swelling. � ALLERGY REVIEW OF SYSTEMS: Patient denies facial swelling, chest tightness, shortness of breath, rash and dizziness + throat tightness: � � Previous Reactions: Denies previous reactions to vaccinations. � Objective � Vitals Vitals: � 01/08/21 1143 01/08/21 1204 01/08/21 1227 BP: (!) 144/89 131/81 104/76 Pulse: (!) 125 (!) 109 99 Temp: 98 �F (36.7 �C) � � SpO2: 99% 99% 98% � Physical Exam Vitals signs and nursing note reviewed. HENT: Head: Normocephalic and atraumatic. Mouth/Throat: Mouth: Mucous membranes are moist. Pharynx: Oropharynx is clear. No posterior oropharyngeal erythema. Comments: No swelling of lips or tongue. Cardiovascular: Rate and Rhythm: Normal rate and regular rhythm. Pulmonary: Effort: Pulmonary effort is normal. No respiratory distress. Breath sounds: Normal breath sounds. No wheezing or rales. Skin: General: Skin is warm and dry. Neurological: General: No focal deficit present. Mental Status: She is alert and oriented to person, place, and time. Psychiatric: Mood and Affect: Mood normal. Behavior: Behavior normal. � Assessment/Plan Treatment included: benadryl 25mg po and solumedrol 125mg IM. Follow up response to treatment: good. Patient had improvement in throat tightness. Does mention being lightheaded after. Patient discharge: Stable to go home and follow up with PCP. Patient called a friend for a safe drive home. She was instructed to go home and rest for the remainder of the day. Denies having any symptoms on discharge. Discharged at 1229. � If she experiences any adverse symptoms in the future, advised to F/U in ER.

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