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

This is VAERS ID 1261779



Case Details

VAERS ID: 1261779 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-07
Onset:2021-04-19
   Days after vaccination:12
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 038B21A / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Injection site erythema, Injection site pruritus
SMQs:, Extravasation events (injections, infusions and implants) (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: allergic to alcohol, cats, horses
Diagnostic Lab Data: none
CDC Split Type:

Write-up: 12 days after receiving the vaccine, I noticed a red oval/circle mark around the injection site. (otherwise known as "covid arm") I also noticed that my left arm was a little itchy as well. The redness went away after 4-5 days.


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