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Report #2858598

Received Sep 14, 2025

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Overview

Sex
Female
Age
63 yrs
State
NM
Recovered
Unknown
Vaccinated
Mar 6, 2021
Onset
Apr 1, 2021
Days to onset
26
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNA1008B21ALA

Symptoms (1)

Eczema

Symptom narrative

Eczema on right foot

Current illness

None

Medical history

Right foot surgeries

Other medications

Carvedilol and nifedipine

Allergies

None

Lab data

Drs