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This is VAERS ID 1446253

History of Changes from the VAERS Wayback Machine

First Appeared on 7/9/2021

VAERS ID: 1446253
VAERS Form:2
Age:45.0
Sex:Male
Location:Ohio
Vaccinated:2021-06-28
Onset:2021-06-29
Submitted:0000-00-00
Entered:2021-07-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 041C21A / 2 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Movement disorder, Pain in extremity, Impaired work ability

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Paroxetine Clonazepam Loratadine
Current Illness: unknown
Preexisting Conditions: unknown
Allergies: Doxycycline Penicillin
Diagnostic Lab Data: unknown
CDC 'Split Type':

Write-up: Patient states arm became painful after immunization and was unable to move his arm. Patient states he had to make a visit to ER and has missed work due to the pain. Patient states he visited his primary care doctor also.

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1446253&WAYBACKHISTORY=ON


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