VAERS ID: 1884710

AGE: 53| SEX: F|STATE: CA (United States)

Description

Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Mild, Additional Details: PATIENT CAME TO THE PHARMACY ON 11/16/2021-COMPLAINING ABOUT THE REDNESS OF THE ARM, MILD SWELLING AND PAIN-RECOMMENDED PT TO TAKE BENADRYL AND PATIENT TOOK BENADRYL,, FOLLOWED UP WITH PT ON 11/17 AND 11/18-PT RECOVERED COMPLETELY ON 11/18/2021

Open in Wayback Machine
(If this is a foreign report without a description you will be able to read the description in the Wayback Machine on Medalerts if the report became public for the first time before November 18, 2022.)

Symptoms

Injection site pain, Injection site erythema, Injection site swelling

Vaccines

VAX DATE: 11-12-2021| ONSET DATE: 11-13-2021| DAYS TO ONSET: 1
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (MODERNA)) 3 COVID19 MODERNA 065f21a IM LA

RECVDATE:11-19-2021
RPT_DATE:
CAGE_YR:53
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:Y
LAB_DATA:
V_ADMINBY:PHM
OTHER_MEDS:
CUR_ILL:
HISTORY:
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:11-19-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:
V_FUNDBY:

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