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From the 9/3/2021 release of VAERS data:

This is VAERS ID 1446775



Case Details

VAERS ID: 1446775 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-06-22
Onset:2021-06-25
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-07-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0180 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Blood test normal, Electrocardiogram normal, Pain, X-ray normal
SMQs:, Arthritis (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: None
Current Illness: Had a cold a few weeks prior
Preexisting Conditions: None
Allergies: Amoxicillin, Seroquel, Tamiflu
Diagnostic Lab Data: I went to the emergency room on June 29th 2021. My tests came back all good. Blood, EKG and xray. They gave me Motrin and lidocaine patches.
CDC Split Type:

Write-up: I''ve been experiencing joint pain in the left shoulder that started a couple days after the vaccine. I went to the emergency room because it was very painful and the pain was radiating to my collar bone. I was worried that something was seriously wrong.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1446775


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