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This is VAERS ID 1454184

History of Changes from the VAERS Wayback Machine

First Appeared on 7/9/2021

VAERS ID: 1454184
VAERS Form:2
Age:77.0
Sex:Female
Location:Illinois
Vaccinated:2021-04-03
Onset:2021-06-01
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

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)? 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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