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This is VAERS ID 1760245

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/8/2021

VAERS ID: 1760245
VAERS Form:2
Age:61.0
Sex:Female
Location:Utah
Vaccinated:2021-09-24
Onset:2021-10-02
Submitted:0000-00-00
Entered:2021-10-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 061E21A / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Injection site erythema, Injection site pruritus, 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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Red itchy and swollen area over the injection site. It started 8 days after the vaccination and has been occuring for 3 days.

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