National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 1437333

History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1437333
VAERS Form:2
Age:56.0
Sex:Female
Location:Kansas
Vaccinated:2021-06-29
Onset:2021-06-29
Submitted:0000-00-00
Entered:2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 008C21A / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Urticaria, Mouth 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: loratidine 10 mg
Current Illness: none
Preexisting Conditions: none
Allergies: citric acid
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: hives arms, chest, buttocks, mouth. Mouth swelling. treatment: claritin 10 mg po. symptoms resolved within 5 hours. still some mouth swelling the following day, advised cetirizine 10 mg po daily X 3 days, famotidine 20 mg po daily x 3 days.

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1437333&WAYBACKHISTORY=ON


Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166