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This is VAERS ID 1494319

History of Changes from the VAERS Wayback Machine

First Appeared on 7/23/2021

VAERS ID: 1494319
VAERS Form:2
Age:62.0
Sex:Female
Location:North Dakota
Vaccinated:2021-07-08
Onset:2021-07-08
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

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: 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&WAYBACKHISTORY=ON


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