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VAERS ID: 2275478

AGE: 18| SEX: F|State: IN

Description

Site: Bruising at Injection Site-Mild, Systemic: Bruising and "Pooling" of vaccine below injection site-Mild, Additional Details: Patients states there was a bruise that formed a line all the way around her arm above her elbow, and just above that she thinks it was the vaccine "pooling". Resolve within 2 days

Symptoms

Injection site bruising, Injection site reaction

Vaccines

VAX DATE: 10 April 2022 | ONSET DATE: 11 April 2022 | DAYS TO ONSET: 1
Vaccine TypeManufacturerVaccine NameDoseRouteSiteLot
  • COVID19
  • MODERNA
  • COVID19 (COVID19 (MODERNA))
  • 1
  • IM
  • LA
  • 048L21A

RECVDATE:12 May 2022
CAGE_YR:18
CAGE_MO:
RPT_DATE:
DIED:
DATEDIED:
L_THREAT:
ER_VISIT:
HOSPITAL:
HOSPDAYS:
X_STAY:
DISABLE:
RECOVD:Y
LAB_DATA:
V_ADMINBY:PHM
OTHER_MEDS:
CUR_ILL:
HISTORY:
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:2
TODAYS_DATE:12 May 2022
BIRTH_DEFECT:
OFC_VISIT:
ER_ED_VISIT:
ALLERGIES:
V_FUNDBY:
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