National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 1330777

History of Changes from the VAERS Wayback Machine

First Appeared on 5/28/2021

VAERS ID: 1330777
VAERS Form:2
Age:27.0
Sex:Female
Location:California
Vaccinated:2021-05-15
Onset:2021-05-19
Submitted:0000-00-00
Entered:2021-05-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 021C21A / 2 RA / IM

Administered by: Other      Purchased by: ??
Symptoms: Muscle spasms, Paraesthesia oral, Oral herpes

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: Rash on left arm and fever
Other Medications: Dextroamphetamine 10mg
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Cold sore on left upper lip. No occurrence of cold sore ever before. Tingling sensation and muscle spasm on left upper lip.

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1330777&WAYBACKHISTORY=ON


Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166