Your Health. Your Family. Your Choice.
|History of Changes from the VAERS Wayback Machine|
|Vaccination / Manufacturer||Lot / Dose||Site / Route|
|COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA||047C21A / 1||LA / IM|
Administered by: Public Purchased by: ??
Symptoms: Pruritus, Face injury, Eye pruritus
Life Threatening? No
Birth Defect? No
Permanent Disability? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Current Illness: Stomach pain and diarrhea, seasonal allergies
Allergies: Codeine, Levothyroxine sodium, Penicillin G, Sulfamethoxaole, trimethoprim
Diagnostic Lab Data:
CDC 'Split Type':
Write-up: Pt experiencing intense itching on eye and on body. Pt said symptoms began after vaccination (June 4, 2021-4 days), has been taking Benadryl nightly since but has had no relief. No reaction was noted during 30 minute period after vaccine and pt stated that itching began at home that night. Pt unsure if eye itching is associated with hitting face on rope by accident, but entire body itching continues. Pt told to go to clinic and advised to make appointment with PCP. Pt refused referral for prompt care due to cost of care.
Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166