National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 1675270

Government Disclaimer on use of this data

History of Changes from the VAERS Wayback Machine

First Appeared on 9/10/2021

VAERS ID: 1675270
VAERS Form:2
Age:57.0
Sex:Male
Location:California
Vaccinated:2021-08-30
Onset:2021-09-03
Submitted:0000-00-00
Entered:2021-09-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 024C21A / 2 - / SYR

Administered by: Unknown      Purchased by: ??
Symptoms: Injection site rash, Rash morbilliform

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: standard cholesterol medication
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Severe rash at injection; itchy; measles like dots on fingers toes and lips and other isolated areas of body

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1675270&WAYBACKHISTORY=ON


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