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This is VAERS ID 1431496

History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1431496
VAERS Form:2
Age:37.0
Sex:Female
Location:Arizona
Vaccinated:2021-05-26
Onset:2021-06-04
Submitted:0000-00-00
Entered:2021-06-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 026C21A / UNK - / SYR

Administered by: Public      Purchased by: ??
Symptoms: Injection site erythema, Injection site pain, Injection site warmth, Injection site swelling

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: lisinopril 10 mg Vitamin D3 25 mcg Blisovi Fe 1/20
Current Illness:
Preexisting Conditions:
Allergies: prednisone vicodin Pepcid Omeprozole
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Moderna COVID-19 Vaccine EUA Covid Arm - Red patch that got larger, was hot to the touch as well as sore and swollen. Treated at home with cortisone creme and ice packs.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1431496&WAYBACKHISTORY=ON


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