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VAERS ID: 1864543

AGE: 24| SEX: F|State: OK

Description

Systemic: Allergic: Itch (specify: facial area, extremeties)-Mild, Systemic: Tingling (specify: facial area, extemities)-Mild, Additional Details: Patient reported an itchy/tingling sensation on her tongue. Gave her water and 50mg of Benadryl and monitored for 30 minutes. She reported that it may have been nerves and "hyperchondriac" feeling. Patient was fine a few minutes later and for the duration of observation

Symptoms

Paraesthesia, Paraesthesia oral, Pruritus, Tongue pruritus

Vaccines

VAX DATE: 11 November 2021 | ONSET DATE: 11 November 2021 | DAYS TO ONSET: 0
Vaccine TypeManufacturerVaccine NameDoseRouteSiteLot
  • COVID19
  • MODERNA
  • COVID19 (COVID19 (MODERNA))

        RECVDATE:
        12 November 2021
        CAGE_YR:
        24
        CAGE_MO:
        RPT_DATE:
        DIED:
        DATEDIED:
        L_THREAT:
        ER_VISIT:
        HOSPITAL:
        HOSPDAYS:
        X_STAY:
        DISABLE:
        RECOVD:
        Y
        LAB_DATA:
        V_ADMINBY:
        PHM
        OTHER_MEDS:
        CUR_ILL:
        HISTORY:
        PRIOR_VAX:
        SPLTTYPE:
        FORM_VERS:
        2
        TODAYS_DATE:
        12 November 2021
        BIRTH_DEFECT:
        OFC_VISIT:
        ER_ED_VISIT:
        ALLERGIES:
        V_FUNDBY:
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