National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 1467751

History of Changes from the VAERS Wayback Machine

First Appeared on 7/16/2021

VAERS ID: 1467751
VAERS Form:2
Age:32.0
Sex:Female
Location:Alabama
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 048C21A / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Pruritus

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: UNKNOWN
Current Illness: UNKNOWN
Preexisting Conditions: NONE
Allergies: LATEX GABAPENTIN CODEINE BARBITURATES PENCILLINS
Diagnostic Lab Data: n/a
CDC 'Split Type':

Write-up: patient stated that she was itching in both arms/wrists/hands - she was given 5ml of bendaryl 15 minutes later - pt stated that she felt fine but still had the itching feeling. no sign of difficulty of breathing - I called the patient later tonight to check on her and she was doing fine

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1467751&WAYBACKHISTORY=ON


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