VAERS ID: 1708029

AGE: 31| SEX: F|STATE: IN (United States)

Description

Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Additional Details: Patient has a large knot that developed and has swollen and is red/warm to the touch. Concerned because she is 48 hours post shot and still having symptoms.

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Symptoms

Injection site pain, Injection site nodule, Injection site erythema, Injection site swelling, Injection site warmth

Vaccines

VAX DATE: 09-10-2021| ONSET DATE: 09-11-2021| DAYS TO ONSET: 1
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (MODERNA)) 2 COVID19 MODERNA 058E21A IM LA

RECVDATE:09-17-2021
RPT_DATE:
CAGE_YR:31
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:N
LAB_DATA:
V_ADMINBY:PHM
OTHER_MEDS:
CUR_ILL:
HISTORY:
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:09-17-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:
V_FUNDBY:

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OpenVAERS is a private organization that posts publicly available CDC/FDA data of injuries reported post-vaccination. Reports are not proof of causality.