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This is VAERS ID 1474828

History of Changes from the VAERS Wayback Machine

First Appeared on 7/16/2021

VAERS ID: 1474828
VAERS Form:2
Age:47.0
Sex:Female
Location:California
Vaccinated:2021-07-15
Onset:2021-07-15
Submitted:0000-00-00
Entered:2021-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 037C21A / 2 - / IM

Administered by: Public      Purchased by: ??
Symptoms: Musculoskeletal chest pain

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:
CDC 'Split Type':

Write-up: Client reported to EMTs pain on her left side around her ribs that she described as "pulsating." Vitals obtained at 2:08PM were as follows: BP 130/76, HR 75, and O2 98%. The client denied any SOB, chest pressure, or throat tightness. The client reports a history of a similar pain on her left side of unknown origin. The client was alert and oriented to person, place, time, and events. The client rated the pain at a 3-4 on a scale of 10. The client has a history of hypertension, which is controlled with Lisinopril. Repeat vitals obtained at 2:20PM were as follows: BP 138/76, HR 67, and O2 98%. The client stated, "I''m okay I can walk." The client stated her symptoms were unchanged. The client elected to leave the vaccination site. Client ambulated away from the observation area unassisted with a steady gait at 2:23PM.

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