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This is VAERS ID 1710201

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History of Changes from the VAERS Wayback Machine

First Appeared on 9/24/2021

VAERS ID: 1710201
VAERS Form:2
Age:56.0
Sex:Female
Location:Oklahoma
Vaccinated:2021-09-13
Onset:2021-09-13
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 warmth, Injection site swelling

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: 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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