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

This is VAERS ID 1437409



Case Details

VAERS ID: 1437409 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Male  
Location: Georgia  
Vaccinated:2021-06-28
Onset:2021-06-30
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 078C21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Axillary mass, Pain in extremity
SMQs:, Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Tamsulosin 0.8mg daily, Meloxicam 15mg daily as needed, donepezil 5mg at bedtime, Albuterol HFA 1 puff as needed for wheezing, Eliquis 5mg twice daily, Fluticasone Nasal spray 2 sprays each nostril daily, Atorvastatin 40mg daily, Amlodipine
Current Illness:
Preexisting Conditions: Arthritis, Asthma, Chest pain, Depression, Enlarged prostate, High blood pressure, Hypercholesterolemia, Dementia (early stages), Schizophrenia, Seizures, Pain
Allergies: NKDA
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient''s wife called around 10:30a on 06/30/2021 and said he had a knot under his left arm. She stated his arm was sore in addition to knot. It was recommended by pharmacist that he could take acetaminophen for the soreness and apply a cool compress for the swelling. I asked her to call us if anything changes or if she notices any new symptoms. We will follow up with patient in 24 hours to assess how he is doing.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1437409


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