Your Health. Your Family. Your Choice.
|History of Changes from the VAERS Wayback Machine|
|Vaccination / Manufacturer||Lot / Dose||Site / Route|
|COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA||001C21A / UNK||RA / IM|
Administered by: Pharmacy Purchased by: ??
Symptoms: Burning sensation, Erythema, Feeling abnormal, Sensory disturbance, Skin wrinkling
Life Threatening? No
Birth Defect? No
Permanent Disability? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Diagnostic Lab Data:
CDC 'Split Type':
Write-up: Pt reported via phone to be experiencing a burning sensation in the neck and face, redness skin appearance that covers a significant portion of her body, something she described as "weird" and unable to explain that''s happening to her elbows, and strange "wrinkles" on her body. Pt said she did not have a PCP, she was instructed to go to her nearest walk in clinic.
Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166