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From the 9/17/2021 release of VAERS data:

This is VAERS ID 1374214



Case Details

VAERS ID: 1374214 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 049C21A / 2 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site swelling, Injection site warmth, Musculoskeletal stiffness
SMQs:, Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: 5/3/2021 I had a red spot on my arm left over from my first Covid dose. It was never painful, hot, or swollen.
Other Medications: Flonase
Current Illness: Seasonal allergies
Preexisting Conditions: Seasonal allergies
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Arm became warm and sore half an inch below injection site. A 2in x 2.5in red, raised rectangular, tender swollen area arose. The affected area always remained below the injection site with only a light red mark that led from the injection site to the affected area. The following morning (6/2/21) the area had more than doubled. It remained hard, warm, tender, and raised with swelling. It was mildly painful. 6/3/21 the red area had spread out over more of my bicep and the stiffness began to diminish slightly. It was still warm and slightly painful. 6/4/21 the swelling is down considerably and the redness has almost completely cleared. The area is still tender.


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