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This is VAERS ID 1241346

History of Changes from the VAERS Wayback Machine

First Appeared on 4/30/2021

VAERS ID: 1241346
VAERS Form:2
Age:53.0
Sex:Female
Location:Massachusetts
Vaccinated:2021-04-21
Onset:2021-04-21
Submitted:0000-00-00
Entered:2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 043B21A / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Pain in extremity, Paraesthesia, Limb injury, Incorrect route of product administration

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)


Changed on 5/7/2021

VAERS ID: 1241346 Before After
VAERS Form:2
Age:53.0
Sex:Female
Location:Massachusetts
Vaccinated:2021-04-21
Onset:2021-04-21
Submitted:0000-00-00
Entered:2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 043B21A / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Pain in extremity, Paraesthesia, Limb injury, Incorrect route of product administration

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)


Changed on 5/14/2021

VAERS ID: 1241346 Before After
VAERS Form:2
Age:53.0
Sex:Female
Location:Massachusetts
Vaccinated:2021-04-21
Onset:2021-04-21
Submitted:0000-00-00
Entered:2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 043B21A / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Pain in extremity, Paraesthesia, Limb injury, Incorrect route of product administration

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1241346&WAYBACKHISTORY=ON


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