| Field | Content |
|---|---|
| VAERS_ID | 0979581 |
| RECVDATE | 2021-01-27 |
| STATE | PA |
| AGE_YRS | 38 |
| CAGE_YR | 38 |
| CAGE_MO | |
| SEX | F |
| RPT_DATE | |
| SYMPTOM_TEXT | Moderna Covid 19 Vacccine EUA Symptoms are in left arm started on January 24, 2021 - swelling, itchy, rash and hot to touch. Also pain in arm pit area Oral Benadryl and topical Benadryl. Redness went away 2 days after but still have swelling, itchy and hot to touch. Pain in arm pit area is still there with no relief. |
| DIED | |
| DATEDIED | |
| L_THREAT | |
| ER_VISIT | |
| HOSPITAL | |
| HOSPDAYS | |
| X_STAY | |
| DISABLE | |
| RECOVD | N |
| VAX_DATE | 2021-01-15 |
| ONSET_DATE | 2021-01-24 |
| NUMDAYS | 9 |
| LAB_DATA | None |
| V_ADMINBY | PVT |
| V_FUNDBY | |
| OTHER_MEDS | Metformin 500mg - 4 a day Ozempic 1mg - every 7 days Bupropion - 150 mg - 1 a day Benazepril - 20mg - 1 a day Atorvastatin - 10 mg - 1 a day |
| CUR_ILL | None |
| HISTORY | None |
| PRIOR_VAX | |
| SPLTTYPE | |
| FORM_VERS | 2 |
| TODAYS_DATE | 2021-01-27 |
| BIRTH_DEFECT | |
| OFC_VISIT | |
| ER_ED_VISIT | |
| ALLERGIES | Sulfa drugs |
| SYMPTOMS |
|
| Field | Content |
|---|---|
| VAERS_ID | 0979581 |
| VAX_TYPE | COVID19 |
| VAX_MANU | MODERNA |
| VAX_LOT | 012620A |
| VAX_DOSE_SERIES | UNK |
| VAX_ROUTE | IM |
| VAX_SITE | LA |
| VAX_NAME | COVID19 (COVID19 (MODERNA)) |