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From the 9/17/2021 release of VAERS data:

This is VAERS ID 1454184



Case Details

VAERS ID: 1454184 (history)  
Form: Version 2.0  
Age: 77.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-04-03
Onset:2021-06-01
   Days after vaccination:59
Submitted: 0000-00-00
Entered: 2021-07-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Pain in extremity
SMQs:, Tendinopathies and ligament disorders (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: Sandostatin, eliquis, B12
Current Illness: None
Preexisting Conditions: None
Allergies: Sulfa
Diagnostic Lab Data: None
CDC Split Type: vsafe

Write-up: I had a regular appointment with my doctor and that?s when I told him that my arm was hurting, and he said that I had to go to physical therapy. He did not prescribed any medications or do any tests


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1454184


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