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This is VAERS ID 1773566

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First Appeared on 10/15/2021

VAERS ID: 1773566
VAERS Form:2
Age:39.0
Sex:Female
Location:California
Vaccinated:2021-09-30
Onset:2021-09-30
Submitted:0000-00-00
Entered:2021-10-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 048C21A / 3 LA / OT

Administered by: Unknown      Purchased by: ??
Symptoms: Erythema, Feeling hot, Pain in extremity, Vaccination complication, Induration

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: OTEZLA
Current Illness: Psoriasis; Psoriatic arthritis
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': USMODERNATX, INC.MOD20213

Write-up: side effects; 1 inch by 1 inch area of redness/one can visibly see the area of redness; That area was also hard/the tissue in that area feels hard; hot to the touch/the tissue in that area feels hot; pain in the whole arm; This spontaneous case was reported by a nurse and describes the occurrence of VACCINATION COMPLICATION (side effects), ERYTHEMA (1 inch by 1 inch area of redness/one can visibly see the area of redness), INDURATION (That area was also hard/the tissue in that area feels hard), FEELING HOT (hot to the touch/the tissue in that area feels hot) and PAIN IN EXTREMITY (pain in the whole arm) in a 39-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 048C21A) for COVID-19 vaccination. Concurrent medical conditions included Psoriasis and Psoriatic arthritis. Concomitant products included APREMILAST (OTEZLA) for Psoriasis and Psoriatic arthritis. On 30-Sep-2021, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 30-Sep-2021, the patient experienced PAIN IN EXTREMITY (pain in the whole arm). On 01-Oct-2021, the patient experienced ERYTHEMA (1 inch by 1 inch area of redness/one can visibly see the area of redness). 01-Oct-2021, the patient experienced INDURATION (That area was also hard/the tissue in that area feels hard) and FEELING HOT (hot to the touch/the tissue in that area feels hot). On an unknown date, the patient experienced VACCINATION COMPLICATION (side effects). At the time of the report, VACCINATION COMPLICATION (side effects), INDURATION (That area was also hard/the tissue in that area feels hard), FEELING HOT (hot to the touch/the tissue in that area feels hot) and PAIN IN EXTREMITY (pain in the whole arm) outcome was unknown and ERYTHEMA (1 inch by 1 inch area of redness/one can visibly see the area of redness) was resolving. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. The 1 inch by 1 inch area of redness, was not exactly at the injection site but adjacent to it. The redness was still there but fading now. No treatment information was provided by the reporter. This case was linked to MOD-2021-340988 (Patient Link). Most recent FOLLOW-UP information incorporated above includes: On 04-Oct-2021: Additional events, concomitant medication and medical history were added. Dosing details, reporter details and patient details were updated.

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