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This is VAERS ID 932672

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History of Changes from the VAERS Wayback Machine

First Appeared on 3/19/2021

VAERS ID: 932672
VAERS Form:2
Age:19.0
Sex:Female
Location:New York
Vaccinated:2020-12-28
Onset:2020-12-28
Submitted:0000-00-00
Entered:2021-01-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 011J2OA / 1 LA / SYR

Administered by: Work      Purchased by: ??
Symptoms: Erythema

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: unknown
Current Illness: unknown
Preexisting Conditions: unknown
Allergies: Latex/ NKDA
Diagnostic Lab Data: no
CDC 'Split Type':

Write-up: With in an hour of the vaccine, she had redness on the arm. It look like she was washing dishes. Her arm and hand were redder the right arm. No discomfort, no itchiness. It went away.


Changed on 5/7/2021

VAERS ID: 932672 Before After
VAERS Form:2
Age:19.0
Sex:Female
Location:New York
Vaccinated:2020-12-28
Onset:2020-12-28
Submitted:0000-00-00
Entered:2021-01-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 011J2OA / 1 LA / SYR

Administered by: Work      Purchased by: ??
Symptoms: Erythema

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: unknown
Current Illness: unknown
Preexisting Conditions: unknown
Allergies: Latex/ NKDA NKDA
Diagnostic Lab Data: no
CDC 'Split Type':

Write-up: With in an hour of the vaccine, she had redness on the arm. It look like she was washing dishes. Her arm and hand were redder the right arm. No discomfort, no itchiness. It went away.


Changed on 5/21/2021

VAERS ID: 932672 Before After
VAERS Form:2
Age:19.0
Sex:Female
Location:New York
Vaccinated:2020-12-28
Onset:2020-12-28
Submitted:0000-00-00
Entered:2021-01-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 011J2OA / 1 LA / SYR

Administered by: Work      Purchased by: ??
Symptoms: Erythema

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: unknown
Current Illness: unknown
Preexisting Conditions: unknown
Allergies: Latex/ NKDA NKDA
Diagnostic Lab Data: no
CDC 'Split Type':

Write-up: With in an hour of the vaccine, she had redness on the arm. It look like she was washing dishes. Her arm and hand were redder the right arm. No discomfort, no itchiness. It went away.

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