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This is VAERS ID 1446376

History of Changes from the VAERS Wayback Machine

First Appeared on 7/9/2021

VAERS ID: 1446376
VAERS Form:2
Age:73.0
Sex:Female
Location:Texas
Vaccinated:2021-06-29
Onset:2021-06-01
Submitted:0000-00-00
Entered:2021-07-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 009D21A / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Contusion

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: none that we are aware of (patient''s son stated that he was going to try arnica for the bruise on his mother''s arm)
Current Illness: according to consent form, none
Preexisting Conditions: according to consent form, none
Allergies: penicillin
Diagnostic Lab Data: none that we are aware of
CDC 'Split Type':

Write-up: Patient came to pharmacy to show us her bruised arm, 5 days after her first Moderna dose. I assured her that it was a common side effect and she acknowledged that she had also been told beforehand.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1446376&WAYBACKHISTORY=ON


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