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|History of Changes from the VAERS Wayback Machine|
|Vaccination / Manufacturer||Lot / Dose||Site / Route|
|COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA||037C21A / 2||LA / IM|
Administered by: Unknown Purchased by: ??
Symptoms: Injection site pain, Pain, Impaired work ability
Life Threatening? No
Birth Defect? No
Permanent Disability? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Other Medications: None
Current Illness: None
Preexisting Conditions: None known
Allergies: None, NKDA
Diagnostic Lab Data:
CDC 'Split Type':
Write-up: Patient had severe left shoulder/arm pain around the site of injection that continued after injection, worsened by his physical job as a custodian, he had to miss work due to this for several days, still moderate/severely painful to complete physical tasks using the left arm 5 days later (today, 6/8/21)
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