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

This is VAERS ID 1350345



Case Details

VAERS ID: 1350345 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Female  
Location: Oklahoma  
Vaccinated:2021-05-20
Onset:2021-05-22
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-05-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 006M20A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Injection site erythema, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: cholecalciferol 2000IU daily, gabapentin 900mg tablet daily prn, loratadine 10mg daily prn, OTC calcium
Current Illness: N/a
Preexisting Conditions: Fibromyalgia, h/o deep vein thrombosis, allergic rhinitis, vitamin d deficiency
Allergies: robitussin DM, bactrim
Diagnostic Lab Data:
CDC Split Type:

Write-up: Redness of the left upper extremity site starting 2 days after vaccine, initially with associated soreness and pain that resolved w/in 48 hours, but redness persisting and spreading distally.


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