National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

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

This is VAERS ID 907608

Government Disclaimer on use of this data



Case Details

VAERS ID: 907608 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: Alabama  
Vaccinated:2020-12-23
Onset:2020-12-23
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 011J20A / 1 AR / IM

Administered by: Other       Purchased by: ?
Symptoms: Pharyngeal paraesthesia, Rash
SMQs:, Anaphylactic reaction (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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: UNKNOWN - SIMILAR REACTION
Other Medications:
Current Illness:
Preexisting Conditions: STATED THAT SHE HAS HAD SIMILAR REACTION IN PAST
Allergies:
Diagnostic Lab Data: NONE - EXTENDED MONITORING AFTER VACCINE
CDC Split Type:

Write-up: MILD RASH, TINGLING IN THRAOT


New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=907608


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