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This is VAERS ID 1447036

History of Changes from the VAERS Wayback Machine

First Appeared on 7/9/2021

VAERS ID: 1447036
VAERS Form:2
Age:64.0
Sex:Male
Location:Kansas
Vaccinated:2021-05-31
Onset:2021-06-01
Submitted:0000-00-00
Entered:2021-07-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 038C21A / 2 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Angioedema, Oral herpes, Mouth swelling

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient presented with angioedema. He stated the day after his second shot, he had what appeared to be 2 cold sores, one on each corner of his mouth. He says each day the swelling has gotten worse. (Presenting from vaccine almost 6 weeks ago) He was advised to seek medical advice, to which he declined. He was then advised that if he would not do that, he should take benadryl and ibuprofen.

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