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This is VAERS ID 1431418

History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1431418
VAERS Form:2
Age:60.0
Sex:Female
Location:Minnesota
Vaccinated:2021-06-25
Onset:2021-06-26
Submitted:0000-00-00
Entered:2021-06-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 009D21A / 2 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Cyst, Erythema, Lymphadenopathy

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: MULTIVITAMIN, CALCIUM
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: PENICILLIN ALLERGY
Diagnostic Lab Data: N/A
CDC 'Split Type':

Write-up: PATIENT STATES SHE HAS A RED ARM THAT EXTENDS INTO HER SHOULDER BLADE AND DOWN TO HER ELBOW. SHE FEELS AS THOUGH HER LYMPH NODES ARE SWOLLEN IN HER ARM AND NECK AND SHE FEELS FLUID FILLED PATCHES (CYSTS) DOWN BY HER ELBOWS. I ADVISED HER TO CONTACT HER DR.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1431418&WAYBACKHISTORY=ON

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