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From the 9/17/2021 release of VAERS data:

This is VAERS ID 1470567



Case Details

VAERS ID: 1470567 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Female  
Location: Vermont  
Vaccinated:2021-07-12
Onset:2021-07-13
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 078C21A / 2 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Cellulitis, Contusion, Erythema, Skin haemorrhage, Skin warm, Ultrasound scan
SMQs:, Anaphylactic reaction (broad), Haemorrhage terms (excl laboratory terms) (narrow), Accidents and injuries (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: Tetanus. information unknown
Other Medications: Aspirin
Current Illness:
Preexisting Conditions:
Allergies: Opiates
Diagnostic Lab Data: Ultrasound of area to rule out blood clot. Was given cephalexin antibiotic for cellulitis.
CDC Split Type:

Write-up: After administration, patient bled down her arm. The bandage was replaced and pressure applied. The following day the patient reported warmth, redness and bruising and went to the Emergency Department.


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