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

This is VAERS ID 1413659



Case Details

VAERS ID: 1413659 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: Foreign  
Vaccinated:2021-06-02
Onset:2021-06-03
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 3002614 / 1 LA / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Arthralgia, Burning sensation, Chest discomfort, Erythema, Peripheral swelling, Pruritus, Rash, Skin oedema
SMQs:, Cardiac failure (broad), Anaphylactic reaction (narrow), Angioedema (broad), Peripheral neuropathy (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (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: METHOTREXATE; FOLICIL; DEFLAZACORTE; OMEPRAZOLE
Current Illness: Autoimmune thyroiditis; Psoriatic arthritis
Preexisting Conditions: Medical History/Concurrent Conditions: Wasp sting
Allergies:
Diagnostic Lab Data:
CDC Split Type: PTMODERNATX, INC.MOD20212

Write-up: Light glottis pressure; Rash (at areas on hands and armpits previously stung by wasp); Pain in the hands and feet''s joints; Hand and the armpit area started to swell; After the vaccine, the same areas turned red again, as if it had just been bitten; Edema (at areas on hands and armpits previously stung by wasp); Itching (at areas on hands and armpits previously stung by wasp); Burning sensation (at areas on hands and armpits previously stung by wasp); This spontaneous case was reported by a consumer and describes the occurrence of PERIPHERAL SWELLING (Hand and the armpit area started to swell), ERYTHEMA (After the vaccine, the same areas turned red again, as if it had just been bitten), SKIN OEDEMA (Edema (at areas on hands and armpits previously stung by wasp)), PRURITUS (Itching (at areas on hands and armpits previously stung by wasp)) and BURNING SENSATION (Burning sensation (at areas on hands and armpits previously stung by wasp)) in a 59-year-old female patient who received mRNA-1273 (COVID 19 Vaccine Moderna) (batch no. 3002614) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient''s past medical history included Wasp sting on 27-May-2021. Concurrent medical conditions included Autoimmune thyroiditis and Psoriatic arthritis. Concomitant products included METHOTREXATE, FOLIC ACID (FOLICIL), DEFLAZACORT (DEFLAZACORTE) and OMEPRAZOLE for an unknown indication. On 02-Jun-2021, the patient received first dose of mRNA-1273 (COVID 19 Vaccine Moderna) (Intramuscular) 1 dosage form. On 03-Jun-2021, the patient experienced PERIPHERAL SWELLING (Hand and the armpit area started to swell) (seriousness criterion medically significant), ERYTHEMA (After the vaccine, the same areas turned red again, as if it had just been bitten) (seriousness criterion medically significant), SKIN OEDEMA (Edema (at areas on hands and armpits previously stung by wasp)) (seriousness criterion medically significant), PRURITUS (Itching (at areas on hands and armpits previously stung by wasp)) (seriousness criterion medically significant), BURNING SENSATION (Burning sensation (at areas on hands and armpits previously stung by wasp)) (seriousness criterion medically significant), RASH (Rash (at areas on hands and armpits previously stung by wasp)) and ARTHRALGIA (Pain in the hands and feet''s joints). On 04-Jun-2021, the patient experienced CHEST DISCOMFORT (Light glottis pressure). The patient was treated with HYDROCORTISONE (intravenous) at a dose of 1 dosage form; CLEMASTINE at a dose of 1 dosage form and DESLORATADINE (AERIUS [DESLORATADINE]) at a dose of 0.5 milligram, to be taken at home. At the time of the report, PERIPHERAL SWELLING (Hand and the armpit area started to swell) and RASH (Rash (at areas on hands and armpits previously stung by wasp)) was resolving and ERYTHEMA (After the vaccine, the same areas turned red again, as if it had just been bitten), SKIN OEDEMA (Edema (at areas on hands and armpits previously stung by wasp)), PRURITUS (Itching (at areas on hands and armpits previously stung by wasp)), BURNING SENSATION (Burning sensation (at areas on hands and armpits previously stung by wasp)), CHEST DISCOMFORT (Light glottis pressure) and ARTHRALGIA (Pain in the hands and feet''s joints) outcome was unknown. The action taken with mRNA-1273 (COVID 19 Vaccine Moderna) (Intramuscular) was unknown. Products known to have been used by the patient, within two weeks prior to the event, included Lexonomide 20 mg daily. Patient reported using concomitant medication was to treat autoimmune thyroiditis and arthritis psoriatic. Company Comment: This case concerns a 59-year-old female with serious unexpected events of peripheral swelling, erythema, skin oedema, pruritus, and burning sensation, and non-serious chest discomfort, rash, and arthralgia. Event latency 32 hours after first dose mRNA-1273. Based on current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded.; Sender''s Comments: This case concerns a 59-year-old female with serious unexpected events of peripheral swelling, erythema, skin oedema, pruritus, and burning sensation, and nonserious chest discomfort, rash, and arthralgia. Event latency 32 hours after first dose mRNA-1273. Based on current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded.


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