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

This is VAERS ID 1347030



Case Details

VAERS ID: 1347030 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: Louisiana  
Vaccinated:2021-05-20
Onset:2021-05-22
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-05-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 036C21A / 2 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Injection site erythema, Injection site warmth
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: Immodopine 5mg, Cetirizine, Hormone replacement
Current Illness: Breast cancer
Preexisting Conditions: Breast cancer since 09/2020
Allergies: amoxicillin
Diagnostic Lab Data: n/a
CDC Split Type:

Write-up: Tissue reaction with redness and heat to area


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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1347030


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