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This is VAERS ID 1475845

History of Changes from the VAERS Wayback Machine

First Appeared on 7/16/2021

VAERS ID: 1475845
VAERS Form:2
Age:27.0
Sex:Female
Location:Washington
Vaccinated:2021-07-06
Onset:2021-07-15
Submitted:0000-00-00
Entered:2021-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 039C21A / 1 LA / SYR

Administered by: Pharmacy      Purchased by: ??
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling

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:
Current Illness:
Preexisting Conditions:
Allergies: Azithromycin
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Red lesion around injection site. Slightly raised and itchy

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1475845&WAYBACKHISTORY=ON


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