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This is VAERS ID 1347804

History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1347804
VAERS Form:2
Age:49.0
Sex:Female
Location:California
Vaccinated:2021-05-20
Onset:2021-05-22
Submitted:0000-00-00
Entered:2021-05-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 023C21A / 2 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Injection site pruritus, Injection site rash, Injection site warmth

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: vitamin D, Lo Loestrin, Levothyroxine, generic zyrtec
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 2 days after my vaccine, I developed a rash a couple inches below the injection site. It was warm to the touch, and itchy. I used a topical cream to treat it. It is now Day 4 and the rash is nearly gone.

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