National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

From the 9/10/2021 release of VAERS data:

This is VAERS ID 1437605



Case Details

VAERS ID: 1437605 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Female  
Location: South Carolina  
Vaccinated:2021-06-17
Onset:2021-06-21
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 RA / -

Administered by: Private       Purchased by: ?
Symptoms: Blister
SMQs:, Severe cutaneous adverse reactions (broad), Hypersensitivity (broad)

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: Pain
Other Medications: At night: 1 x Benicar 5mg prescription & 1tbsp Elderberry syrup health food store Day: 1 x Cymbalta 30mg, 1 x Zyrtec 10mg both prescriptions Supplements from Trivani 1 x Vitamin C 135mg 1 x Vitamin D 2000IU 1 x Magnesium 400mg 1 x Immu
Current Illness: None
Preexisting Conditions: Sick building Syndrome exposed to black mold 2002-2005
Allergies: Codeine
Diagnostic Lab Data: None
CDC Split Type: HT475

Write-up: Started getting blisters on hands and leg


New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1437605


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