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From the 5/7/2021 release of VAERS data (an older release, current is 11/26/2021):

This is VAERS ID 938244

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Case Details

VAERS ID: 938244 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: Kentucky  
Vaccinated:2021-01-07
Onset:2021-01-08
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-01-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 012L20A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Contusion, Ecchymosis, Erythema, Petechiae, Pruritus
SMQs:, Anaphylactic reaction (broad), Haemorrhage terms (excl laboratory terms) (narrow), Accidents and injuries (narrow), Hypersensitivity (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? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Moderna COVID- 19 Vaccine Moderna Lot #012L20A January 2021 left deltoid CC: Itching reaction, remote to the site of Moderna vaccination, 26 hrs post-injection 47 year old presents with rash rt. thigh on 1-7-21 at the Health Services, Employee Health Received Moderna Covid 19 mRNA vaccination #1 yesterday 1-7-21 at 8:50 am, left deltoid. Noted itchy area on rt. thigh ~ 26 hrs post-vaccine. No trouble breathing, no throat or facial swelling, no h/o problems with vaccination, no h/o anaphylaxis. No new topical exposures. No new supplements, no recent antibiotics. Denies fever. She apparently rubbed/scratched through pant leg, when felt itching, and then saw a bruised/red area after this. Exam: Skin: 5 xc 10 cm nonblanching petechial and ecchymotic area rt. ant. thigh, no papules or pustules, no warmth to touch. Pt. encouraged to register with V-safe. Rec. oral anthistamines as directed/needed. I spoke with patient on 1-11-21, no new itchy areas, still using Benadryl for the localized itchy area that she reports is resolving. Was harm caused: employee is fine. Difficult to say if this is vaccine reaction vs. coincidental occurrence.


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