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From the 11/26/2021 release of VAERS data:

This is VAERS ID 947392

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Case Details

VAERS ID: 947392 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-01-13
Onset:2021-01-13
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-01-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 039K20A / 1 LA / SYR

Administered by: Work       Purchased by: ?
Symptoms: Injection site bruising, Pain in extremity, Purpura
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: Chronic Venous Insufficiency
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Unusual pattern of bruising at injection site - bruising with 3 reddish/purplish small round circles underneath the skin. Circles are all approximately the same size, and all are on the same horizontal "line". Bruising started appearing evening of the injection. Left arm was very sore, especially the evening of the injection. Bruising and circles still visible two days later, but pain is negligible.


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