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From the 9/3/2021 release of VAERS data:

This is VAERS ID 1430649



Case Details

VAERS ID: 1430649 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-06-24
Onset:2021-06-26
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-06-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Contusion, Induration, Swelling, Tenderness
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Haemorrhage terms (excl laboratory terms) (narrow), Accidents and injuries (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Diltiazem Eliquis Pantoprazole Anoro Albuterol Sulfate Budesonide
Current Illness: COPD
Preexisting Conditions: COPD
Allergies: None known
Diagnostic Lab Data: None
CDC Split Type:

Write-up: A vein was swollen When massaged swollen went down Was sore to touch Turned into a big bruise and hard to the touch


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1430649


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