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From the 9/17/2021 release of VAERS data:

This is VAERS ID 1389088



Case Details

VAERS ID: 1389088 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-05-29
Onset:2021-06-04
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 022B21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Burning sensation, Chest pain, Injection site mass, Injection site pain
SMQs:, Peripheral neuropathy (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Tums, motrin
Current Illness: n/a
Preexisting Conditions: n.a
Allergies: n/a
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient was experiencing arm pain around injection site with a lump where moderna was given. She mentioned that she has burning of the chest/sternum area radiating down to left arm with little to no effect when using ibuprofen for relief. It has been continuous since when she has reported having symptoms


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1389088


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