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

This is VAERS ID 1484944



Case Details

VAERS ID: 1484944 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-07-18
Onset:2021-07-18
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Injection site pruritus, Injection site rash
SMQs:, Hypersensitivity (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: oral iron
Current Illness: none, prior site reaction to Moderna vaccination
Preexisting Conditions: PE, DVT, Anemia
Allergies: NKA
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient received her second Moderna vaccination, after having a localized reaction (likely COVID arm) with the first vaccination. The same day she received her second vaccination she developed a rash all around the injection site and extending down to her elbow. Itchy


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