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This is VAERS ID 908486

History of Changes from the VAERS Wayback Machine

First Appeared on 1/7/2021

VAERS ID: 908486
VAERS Form:2
Age:35.0
Sex:Female
Location:Missouri
Vaccinated:2020-12-23
Onset:2020-12-23
Submitted:0000-00-00
Entered:2020-12-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025J20-2A / UNK RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Pruritus, Rash

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: Received vaccine around 0700 this morning. Started itching around 1300, rash appeared on both hands around 1500. Arms also itch but no current sign of rash. Has taken benadryl. Talked to employee health and was directed to go to ED if rash spreads.


Changed on 5/7/2021

VAERS ID: 908486 Before After
VAERS Form:2
Age:35.0
Sex:Female
Location:Missouri
Vaccinated:2020-12-23
Onset:2020-12-23
Submitted:0000-00-00
Entered:2020-12-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025J20-2A / UNK RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Pruritus, Rash

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: Received vaccine around 0700 this morning. Started itching around 1300, rash appeared on both hands around 1500. Arms also itch but no current sign of rash. Has taken benadryl. Talked to employee health and was directed to go to ED if rash spreads.


Changed on 5/14/2021

VAERS ID: 908486 Before After
VAERS Form:2
Age:35.0
Sex:Female
Location:Missouri
Vaccinated:2020-12-23
Onset:2020-12-23
Submitted:0000-00-00
Entered:2020-12-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025J20-2A / UNK RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Pruritus, Rash

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: Received vaccine around 0700 this morning. Started itching around 1300, rash appeared on both hands around 1500. Arms also itch but no current sign of rash. Has taken benadryl. Talked to employee health and was directed to go to ED if rash spreads.

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=908486&WAYBACKHISTORY=ON

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