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VAERS Report 2157437

Case Report Section

Vaer Report Details

Age: 46 years old

Gender: Female

State: Indiana

Patient Died?
No
Vaccine information

Name: COVID19 (COVID19 (MODERNA))

Type: Coronavirus 2019 vaccine

Manufacturer: MODERNA

Lot: 025l21b


Date report was received
2022-03-04
Date form completed
Date Vaccinated
2022-02-07
Date of Onset
0
Number of days (onset date – vaccination date)
0
Adverse Event Description

site: pain at injection site-mild, additional details: patient called pharmcay to reschedule her 3/7/22 appointment. she also complained to rph that she stlll has soreness at the injection site of her fiest covid vaccination. she calaimed no infection was evident when questioned. rph advised she visit to her priamry care provider to be diagnoised. now answer when same rph called back to check on her the following day

Lab Data
na
List of symptoms
injection site pain
Patient Died?
No
Date Died
NA
Birth defect
false
Vaccine Administered By:
Pharmacy or store
Vaccine Purchased By:
Unknown
Patient visit ER?
No
Patient Hospitalized?
No
Stay in hospital
No
Days in hospital
Unspecified
Permanent disability?
No
Allergies:
na
Current Illness
na