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From the 6/4/2021 release of VAERS data:

This is VAERS ID 1236586



Case Details

VAERS ID: 1236586 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Female  
Location: Connecticut  
Vaccinated:2021-04-01
Onset:2021-04-19
   Days after vaccination:18
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Abdominal distension, Induration, Pruritus, Vaccination site reaction
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (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: Wellbutrin and lexapro
Current Illness:
Preexisting Conditions: Anemic
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Hard red bump on arm where vaccine was injected. Also very itchy


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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1236586


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