National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 1467314

History of Changes from the VAERS Wayback Machine

First Appeared on 7/16/2021

VAERS ID: 1467314
VAERS Form:2
Age:47.0
Sex:Female
Location:Oregon
Vaccinated:2021-07-13
Onset:2021-07-13
Submitted:0000-00-00
Entered:2021-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 007C21A / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Rash, Rash erythematous, Rash pruritic

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: influenza
Other Medications: unknown
Current Illness: unknown
Preexisting Conditions: unknown
Allergies: cipro,dilaudid,morphine,oxycodone,oxycontin,penicillin,percocet,rocephin,sulfa,tylenol-codeine. prior history of reaction to flu vaccine
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: pt presented red itchy rash from face down to legs, pt took 50 mg of benadryl prior to coming to clinic. pt was given in clinic 125 mg solu-medrol and 20 mg of pepcid, symptoms resolved pt sent home

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1467314&WAYBACKHISTORY=ON


Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166