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This is VAERS ID 1487975

History of Changes from the VAERS Wayback Machine

First Appeared on 7/23/2021

VAERS ID: 1487975
VAERS Form:2
Age:41.0
Sex:Female
Location:Florida
Vaccinated:2021-07-17
Onset:2021-07-18
Submitted:0000-00-00
Entered:2021-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 040C21A / 2 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Injection site erythema, Injection site warmth, Rash erythematous, 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: Unknown
Current Illness: Unknown
Preexisting Conditions: Unknown
Allergies: Penicillin, codeine, latex, anesthesia
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Injection site arm is red, swollen, and hot - started 1 day after administration. 2 days after administration red rash was at its worst.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1487975&WAYBACKHISTORY=ON


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