National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

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

This is VAERS ID 1378342



Case Details

VAERS ID: 1378342 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-04-30
Onset:2021-06-04
   Days after vaccination:35
Submitted: 0000-00-00
Entered: 2021-06-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 050C21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Headache, Injection site bruising, Injection site erythema, Injection site induration, Injection site inflammation, Injection site pain, Injection site pruritus
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Extravasation events (injections, infusions and implants) (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:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: No known drug allergies. Allergies: eggs, peanuts, dairy, white beans
Diagnostic Lab Data:
CDC Split Type:

Write-up: Seven days following the immunization my arm began to itch and burn forming a 7cm x 5cm area of induration. This well demarcated area was maroon in color with bruising at 1 o''clock. I applied ice to the area, elevated my arm and took Tylenol 1000mg every 6-8 hours. The visible inflammation has subsided after 60 hours (2.5 days). My arm continues to burn and itch but is no longer indurated, or maroon. I am continuing to have dull headaches, beginning 5 days after immunization. No fever.


New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1378342


Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166