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From the 9/10/2021 release of VAERS data:

This is VAERS ID 1494319



Case Details

VAERS ID: 1494319 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Female  
Location: North Dakota  
Vaccinated:2021-07-08
Onset:2021-07-08
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 039C21A / 2 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Injection site bruising, Injection site pain
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Extravasation events (injections, infusions and implants) (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: Levemir, Novolog, Clopidogrel, Lisinopril, Alogliptin, Aspirin, Metformin, Simvastatin, Metoprolol, Carboxymethylcellulose
Current Illness: None
Preexisting Conditions: Diabetes, Hypertension, Hyperlipidemia, Coronary artery disease, Plantar fascitis
Allergies: Amoxicillin, Ibuprofen, Levaquin
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt states right upper arm hurt immediately upon 2nd COVID-19 vaccination on 7/9/21 and the pain has continued but has lessened in severity. Pt saw provider on 7/22/21 who recommended pt use acetaminophen to help with pain. Provider reviewed arm and noted there was still bruising to the area and noted that injection was done higher than normal. Discussed injection placement with vaccinator.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1494319


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