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From the 9/10/2021 release of VAERS data:

This is VAERS ID 1474441



Case Details

VAERS ID: 1474441 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: Maryland  
Vaccinated:2021-06-03
Onset:2021-07-01
   Days after vaccination:28
Submitted: 0000-00-00
Entered: 2021-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 011D21A / 2 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Acne, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: metformin, amlodipene, atoravastatin, januvia, jardiance, lisinopril,
Current Illness:
Preexisting Conditions: Type 2 diabetes, hypertension
Allergies: Medication : sulfamethoxazole Foods: Peanuts, almonds, seasonal allergies- pollen, cherries, peaches, plums, apples, pears, raw carrots, raw celery,.....
Diagnostic Lab Data: none saught
CDC Split Type:

Write-up: Rash, cluster of tiny pimples on right shoulder approximately 2inch circumference


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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1474441


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