Adverse Event Reporting

VAERS ID 1831895
Gender Female
Age 47
StateCode RI
Pharmaceutical Company MODERNA
Lot Number 939904
Number of vaccinations 2
Vaccinated 2021-10-28
Onset 2021-10-29
Condition
Symptoms
  • Injection site erythema
  • Injection site induration
  • Injection site pruritus
  • Injection site warmth

Current Illness

Preexisting Conditions

Other Medications

Previous Vaccinations

Allergies

Laboratory Data

Write-up

Left arm at the injection site has a large round red circle.
It is red, firm to the touch, hot and a little itchy.