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From the 7/23/2021 release of VAERS data:

This is VAERS ID 1328977



Case Details

VAERS ID: 1328977 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: Oregon  
Vaccinated:2021-05-10
Onset:2021-05-18
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-05-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Feeling hot, Injection site pain, Pruritus, Rash macular, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Prazosin, Bupropion, multivitamin with Ashwagahnda
Current Illness: None
Preexisting Conditions: None
Allergies: Salicylate allergy
Diagnostic Lab Data:
CDC Split Type:

Write-up: COVID arm. Swelling, heat, blotchy rash, itchiness, and pain at injection site


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1328977


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