National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

From the 4/16/2021 release of VAERS data (an older release, current is 10/15/2021):

This is VAERS ID 981111



Case Details

VAERS ID: 981111 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: New York  
Vaccinated:2021-01-25
Onset:2021-01-27
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-01-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025J20A / 1 RA / IM
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 029L20A / UNK RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Abortion spontaneous, Erythema, Feeling hot, Induration, Injection site mass, Injection site pruritus, Injection site swelling, Lymphadenopathy, Peripheral swelling, Pregnancy, Pruritus, Skin hyperpigmentation, Tenderness, Ultrasound abdomen
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Termination of pregnancy and risk of abortion (narrow), Normal pregnancy conditions and outcomes (narrow), Hypersensitivity (broad), 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: Aderall xr wellbutrin
Current Illness: none
Preexisting Conditions: none
Allergies: nka
Diagnostic Lab Data: Abd ultra sound 1/23/21
CDC Split Type:

Write-up: My second dose was on 1/25/21 . One day after my 3/4 of my upper arm into my axillary area became red, swollen, warm to touch, tender to touch, firm and itchy. My axillary lymph nodes were also swollen and tender to touch. My first vaccine was on 12/23/20. Several days after a small area around the injection site became swollen and itchy. I also had a small palpable lump under my skin at the injection and my skin had a small area of hyper pigmentation for ~2 weeks. Again the area was much smaller and I did not think it would be considered an "Adverse" effect. I was also unaware that I was several weeks pregnant at the time of my first vaccine. when I went to the doctors office on 1/23/21 I was told I was 7.5 weeks pregnant, there was no heartbeat and I had miscarried.


New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20210416&IDNUMBER=981111

Government Disclaimer on use of this data


Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166