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|History of Changes from the VAERS Wayback Machine|
|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
Permanent Disability? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
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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