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

This is VAERS ID 1329687



Case Details

VAERS ID: 1329687 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Male  
Location: Virginia  
Vaccinated:2021-05-18
Onset:2021-05-18
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 038C21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Injection site pruritus, Pruritus
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Site: Itching at Injection Site-Medium, Systemic: Allergic: Itch (specify: facial area, extremeties)-Medium, Additional Details: GAVE PT MODERNA COVID VACCINE. ABOUT 15 MINUTES LATER PT REPORTS FEELING ITCHY ON THE FACE. WAITED A FEW MORE MINUTES AND THE ITCH BEGAN TO SPREAD TO CHEST AND ARMS. GAVE PT BENDRYL AND ASKED TO STAY 15 MORE MINUTES. RESOLVED WITH BENADRYL.


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