National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 1474441

History of Changes from the VAERS Wayback Machine

First Appeared on 7/16/2021

VAERS ID: 1474441
VAERS Form:2
Age:51.0
Sex:Female
Location:Maryland
Vaccinated:2021-06-03
Onset:2021-07-01
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

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: 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

New Search

Link To This Search Result:

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


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