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From the 9/10/2021 release of VAERS data:

This is VAERS ID 1403546

Case Details

VAERS ID: 1403546 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Male  
Location: Pennsylvania  
   Days after vaccination:17
Submitted: 0000-00-00
Entered: 2021-06-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Public       Purchased by: ?
Symptoms: Hypoaesthesia, Injection site pain, Mobility decreased
SMQs:, Peripheral neuropathy (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Tendinopathies and ligament disorders (broad), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: effexor xr 150 mg pantoprazole 40 mg diclofenac sodium 1% gel
Current Illness: broken wrist same arm just got cast off
Preexisting Conditions: n/a
Allergies: prednisone
Diagnostic Lab Data: chiropractor 6/14 chiropractor 6/16
CDC Split Type:

Write-up: center of left upper arm needle pain (shock feeling), numbness shooting down arm to fingers. loss of squeeze motion. these effects are intermittent. went to chiropractor for adjustment before i found out others were having similar problems.

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