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This is VAERS ID 907876

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History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2020

VAERS ID: 907876
VAERS Form:2
Age:26.0
Sex:Female
Location:Iowa
Vaccinated:2020-12-23
Onset:2020-12-23
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

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:
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.


Changed on 5/7/2021

VAERS ID: 907876 Before After
VAERS Form:2
Age:26.0
Sex:Female
Location:Iowa
Vaccinated:2020-12-23
Onset:2020-12-23
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

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:
Current Illness:
Preexisting Conditions:
Allergies: None she is aware of 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.


Changed on 5/14/2021

VAERS ID: 907876 Before After
VAERS Form:2
Age:26.0
Sex:Female
Location:Iowa
Vaccinated:2020-12-23
Onset:2020-12-23
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

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:
Current Illness:
Preexisting Conditions:
Allergies: None she is aware of 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.

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