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This is VAERS ID 1484059

History of Changes from the VAERS Wayback Machine

First Appeared on 7/23/2021

VAERS ID: 1484059
VAERS Form:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 - / -

Administered by: Other      Purchased by: ??
Symptoms: Injection site pain, Injection site pruritus, Pain, 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: Sertraline 25mg
Current Illness:
Preexisting Conditions: Depression
Allergies: Mild allergies to some types of fruit. Mild seasonal allergies. Allergies to some pets.
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Itchiness at the injection site, then swelling and pain. The swelling is getting bigger and so is the pain. It hurts to lift my arm up. This started a week after the injection....

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