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This is VAERS ID 1474702

History of Changes from the VAERS Wayback Machine

First Appeared on 7/16/2021

VAERS ID: 1474702
VAERS Form:2
Age:18.0
Sex:Male
Location:West Virginia
Vaccinated:2021-07-03
Onset:2021-07-03
Submitted:0000-00-00
Entered:2021-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8735 / UNK - / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Pain in extremity, Mobility decreased

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Patient has not been seen by a provider at this time.
CDC 'Split Type':

Write-up: Patient states that his arm has been and still is sore. He has lost mobility and it''s painful (7 on pain scale) when trying to raise his arm above his head. He can perform pull movements, but cannot perform any push movements.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1474702&WAYBACKHISTORY=ON


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