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From the 9/10/2021 release of VAERS data:

This is VAERS ID 1385215



Case Details

VAERS ID: 1385215 (history)  
Form: Version 2.0  
Age: 23.0  
Sex: Female  
Location: Nebraska  
Vaccinated:2021-06-03
Onset:2021-06-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 036B4A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Lymph node pain, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamin D and Vitamin B12
Current Illness: None
Preexisting Conditions: Congenital CMV Nonfunctional cochlear implant
Allergies: NKMA
Diagnostic Lab Data: None, resolving.
CDC Split Type:

Write-up: Approximately 24 hours after getting immunization she had a reticular rash on the entirety of her left thigh and pain in the inguinal lymph nodes. Nearly resolved 24 hours later.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1385215


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