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 907876

Government Disclaimer on use of this data

Case Details

VAERS ID: 907876 (history)  
Form: Version 2.0  
Age: 26.0  
Sex: Female  
Location: Iowa  
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025J20-2A / 1 LA / -

Administered by: Private       Purchased by: ?
Symptoms: Erythema, Feeling hot, Injection site warmth, Skin warm
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (broad), 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:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: None she is aware of
Diagnostic Lab Data:
CDC Split Type:

Write-up: Shortly after receiving the Moderna COVID-19 Vaccine (Within minutes) she complained of the injection site and that arm of feeling warm. Upon further inspection, her arm was warm to the touch and was red. Patient could feel warmth from inside and we could also feel the warmth with touch. She stayed 15 minutes and we monitored the site. There was no further reaction. The patient had been offered Benadryl and declined. This will be notated for her second dose and will pre-treat with benadryl if needed.

New Search

Link To This Search Result:

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