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This is VAERS ID 1463626

History of Changes from the VAERS Wayback Machine

First Appeared on 7/16/2021

VAERS ID: 1463626
VAERS Form:2
Age:56.0
Sex:Female
Location:Georgia
Vaccinated:2021-06-23
Onset:2021-07-01
Submitted:0000-00-00
Entered:2021-07-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 033B21A / 1 RA / SYR

Administered by: Private      Purchased by: ??
Symptoms: Abdominal pain upper, Dizziness, Erythema, Injection site rash, Rash, Rash papular, Rash pruritic, Peripheral 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: Venlafaxine Adderal
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: On June 23, my arm was swollen; very red and i could see tiny raised bumps around the injection site and i felt dizzy now and again. When i woke on july 1st i noticed a rash with raised very itchy bumps on my chest, neck and face including my eyelid, and they were extremely itchy. The next few days i continued finding more red itchy bumps my shoulds all around my neck my left arm mostly my wrist, my stomach on the left side and my left thigh. This is a servere very inflamed rash. I am still dizzy and the rashes are huge. Ans my left side stomach just started hurting today

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1463626&WAYBACKHISTORY=ON

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