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|History of Changes from the VAERS Wayback Machine|
|Vaccination / Manufacturer||Lot / Dose||Site / Route|
|COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA||- / 1||- / OT|
Administered by: Unknown Purchased by: ??
Symptoms: Urticaria, Vaccination site erythema, SARS-CoV-2 test
Life Threatening? No
Birth Defect? No
Permanent Disability? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Other Medications: BECLOMETHASONE [BECLOMETASONE]; VENLAFAXINE
Current Illness: Mixed anxiety and depressive disorder
Diagnostic Lab Data: Test Date: 20210506; Test Name: COVID-19 virus test; Test Result: Negative ; Result Unstructured Data: negative
CDC 'Split Type': GBMODERNATX, INC.MOD20212
Write-up: red splotches; Hives; This regulatory authority case was reported by a consumer and describes the occurrence of VACCINATION SITE ERYTHEMA (red splotches) and URTICARIA (Hives) in a female patient of an unknown age who received mRNA-1273 (Moderna CoviD-19 Vaccine) for COVID-19 vaccination. Concurrent medical conditions included Mixed anxiety and depressive disorder. Concomitant products included BECLOMETHASONE [BECLOMETASONE] and VENLAFAXINE for Mixed anxiety and depressive disorder. On 24-May-2021, the patient received first dose of mRNA-1273 (Moderna CoviD-19 Vaccine) (unknown route) 1 dosage form. On 01-Jun-2021, the patient experienced URTICARIA (Hives) (seriousness criterion medically significant). On an unknown date, the patient experienced VACCINATION SITE ERYTHEMA (red splotches) (seriousness criterion medically significant). On 05-Jun-2021, URTICARIA (Hives) was resolving. At the time of the report, VACCINATION SITE ERYTHEMA (red splotches) was resolving. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 06-May-2021, SARS-CoV-2 test: no - negative covid-19 test (Negative) negative. The action taken with mRNA-1273 (Moderna CoviD-19 Vaccine) (Unknown) was unknown. The patient experienced red splotches on skin, not generally itchy (less than 5 times has it felt itchy) appeared suddenly and started spreading really quickly. Called GP and submitted photos. Antihistamines were given as treatment. Patient has not tested positive for COVID-19 since having the vaccine. Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.; Sender''s Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.
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