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This is VAERS ID 1388887

History of Changes from the VAERS Wayback Machine

First Appeared on 6/11/2021

VAERS ID: 1388887
VAERS Form:2
Age:63.0
Sex:Male
Location:Alabama
Vaccinated:2021-04-22
Onset:2021-06-04
Submitted:0000-00-00
Entered:2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 020B21A / 2 LA / IM

Administered by: Public      Purchased by: ??
Symptoms: Injection site nerve damage, Neuralgia, Phantom limb syndrome

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Flomax, Zyrtec
Current Illness: Spinal stenosis
Preexisting Conditions: Spinal stenosis, service injuries to spine
Allergies: None
Diagnostic Lab Data: None to date
CDC 'Split Type':

Write-up: Nerve damage Pain at time of injection by nurse. Currently experiencing pain and phantom shot replication.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1388887&WAYBACKHISTORY=ON


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