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This is VAERS ID 1348065

History of Changes from the VAERS Wayback Machine

First Appeared on 5/28/2021

VAERS ID: 1348065
VAERS Form:2
Age:36.0
Sex:Female
Location:Ohio
Vaccinated:2021-05-14
Onset:2021-05-22
Submitted:0000-00-00
Entered:2021-05-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Erythema, Pruritus, Skin warm, Exposure during pregnancy

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:
Other Medications: Cimzia 200mg/ml injection Prenatal vitamins
Current Illness: None
Preexisting Conditions: Rheumatoid arthritis
Allergies: Bactrim
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Arm still warm to touch, itching and red. Was 15 weeks pregnant.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1348065&WAYBACKHISTORY=ON


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