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This is VAERS ID 1468360

History of Changes from the VAERS Wayback Machine

First Appeared on 7/16/2021

VAERS ID: 1468360
VAERS Form:2
Age:32.0
Sex:Female
Location:Oregon
Vaccinated:2021-07-06
Onset:2021-07-13
Submitted:0000-00-00
Entered:2021-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 051C21A / 1 RA / SYR

Administered by: Pharmacy      Purchased by: ??
Symptoms: Injection site erythema, Injection site pruritus, Injection site reaction, Injection site warmth, Injection site swelling, Skin texture abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Tylenol 500mg, Naprosyn off and on, multi vitamin gummy, vitamin C gummy.
Current Illness: None
Preexisting Conditions: Bipolar, skin cancer from moles, past recreational drug and persctiption abuse with over ten years off them, Marijuana use daily, former cigarette smoker.
Allergies: Latex and natural rubber products, grass, lilacs, cypress, malt.
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Red, swelling, itching, warm to touch, raised and textured injection site seven days after injection.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1468360&WAYBACKHISTORY=ON

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