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From the 10/8/2021 release of VAERS data:

This is VAERS ID 987979



Case Details

VAERS ID: 987979 (history)  
Form: Version 2.0  
Age: 80.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:2021-01-11
Onset:2021-01-18
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-01-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 011L20A / 1 - / IM

Administered by: Private       Purchased by: ?
Symptoms: Injection site pruritus, Injection site reaction, Petechiae, Rash erythematous
SMQs:, Anaphylactic reaction (broad), Haemorrhage terms (excl laboratory terms) (narrow), Hypersensitivity (narrow), 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: Tylenol #3, amlodipine, fenofibrate, vitamin D
Current Illness:
Preexisting Conditions: osteoporosis, pernicious anemia
Allergies: iodine contrast media, tetracycline
Diagnostic Lab Data: none
CDC Split Type:

Write-up: Flat red rash approximately 3 inches in diameter surrounding injection site (looked like petechiae) with extreme itching for 2-3 days. Notified appropriate local site to report reaction. No more symptoms after 3 days. Unknown if caused by the Covid vaccine as it occurred 8 days after injection.


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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=987979

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