Your Health. Your Family. Your Choice.
|History of Changes from the VAERS Wayback Machine|
|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
Permanent Disability? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
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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