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From the 11/19/2021 release of VAERS data:

This is VAERS ID 1710201

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Case Details

VAERS ID: 1710201 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: Oklahoma  
Vaccinated:2021-09-13
Onset:2021-09-13
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 050E21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Injection site bruising, Injection site erythema, Injection site swelling, Injection site warmth
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: na
Current Illness: liver , past covid infection , smoker
Preexisting Conditions: unknown
Allergies: na
Diagnostic Lab Data: na
CDC Split Type:

Write-up: after injection - injection site instantly started to raise , I notified pt of the site reaction and got immediately got a cold compress to apply to site while holding compress to site I had the patient self administer 50mg or diphenhydramine solution. after cold compress removed swelling and redness would come back. pt complained of heat at site with cold compress. I switched to frozen compress and after 10 minutes swelling did not come back as fast when frozen compress removed. pt decided to leave sent diphenhydramine and frozen pack with patient to use as needed and with instructions to seek medical care if needed. Patient returned on 9/17/21 a bruise at injection site was only remaining issue.


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