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This is VAERS ID 1423404

History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1423404
VAERS Form:2
Age:58.0
Sex:Female
Location:Puerto Rico
Vaccinated:2021-06-09
Onset:2021-06-20
Submitted:0000-00-00
Entered:2021-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / IM

Administered by: Unknown      Purchased by: ??
Symptoms: Erythema, Pain, Pruritus, Peripheral swelling

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Losartan 50 MG Metoprolol 50 gm Aspirin 81 MG Multivitamins Calcium
Current Illness: N/A
Preexisting Conditions: Elevated blood pressure
Allergies: No
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: First I felt swelling and pain. Currently, I have the arm area red and swollen, I also feel itching in the area.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1423404&WAYBACKHISTORY=ON


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