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This is VAERS ID 1371035

History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1371035
VAERS Form:2
Age:49.0
Sex:Male
Location:Virginia
Vaccinated:2021-05-17
Onset:2021-06-01
Submitted:0000-00-00
Entered:2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 LA / SYR

Administered by: Pharmacy      Purchased by: ??
Symptoms: Fatigue, Headache, Injection site erythema, Injection site pruritus, Pain, Pyrexia

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: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: About 8 hours after my second shot, I developed a fever, headache and body ache. Those symptoms and general tiredness lasted about 36 hours and then vanished. Then, about two weeks after my second Moderna shot, the injection site (upper left arm) was itchy. There is now a red spot around the site, about 1-2 cm wide at the moment (17 days after). No pain.

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