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This is VAERS ID 1374726

History of Changes from the VAERS Wayback Machine

First Appeared on 6/11/2021

VAERS ID: 1374726
VAERS Form:2
Age:50.0
Sex:Female
Location:New Jersey
Vaccinated:2021-06-01
Onset:2021-06-01
Submitted:0000-00-00
Entered:2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 - / -

Administered by: Pharmacy      Purchased by: ??
Symptoms: Injection site erythema, Injection site pain, Injection site warmth, Mobility decreased, Injection site swelling

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Swelling, tenderness, redness, warmth at the injection site, difficulty moving injected arm. Symptoms began after vaccination, and have progressively gotten worse/affected site has gotten bigger.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1374726&WAYBACKHISTORY=ON


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