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From the 9/17/2021 release of VAERS data:

This is VAERS ID 1446647



Case Details

VAERS ID: 1446647 (history)  
Form: Version 2.0  
Age: 70.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2021-06-23
Onset:2021-06-29
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-07-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 007B21A / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Rash, Rash pruritic
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: penicllin, sulfa,percocet, hctz, msg, codiene
Current Illness: unknown
Preexisting Conditions: none
Allergies: msg
Diagnostic Lab Data:
CDC Split Type:

Write-up: RASH ON SIDE OF FACE AND NECK AND VERY ITCHY, OCCURRED WITHIN 7 DAYS OF THE VACCINE/PATIENT HAS NOT RECOVERED FROM THE ADR BUT SAYS SHE IS IMPROVED NOW FROM WHEN IT STARTED


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1446647


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