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|History of Changes from the VAERS Wayback Machine|
|Vaccination / Manufacturer||Lot / Dose||Site / Route|
|COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA||034C21A / 1||RA / IM|
Administered by: Other Purchased by: ??
Symptoms: Chest discomfort, Hypoaesthesia, Nausea, Pain in extremity
Life Threatening? No
Birth Defect? No
Permanent Disability? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Allergies: banana, kiwi fruit, pineapple
Diagnostic Lab Data: Vital signs taken: BP 134/84, HR 55, O2sat 100% Room Air.
CDC 'Split Type':
Write-up: 9/14/21 Pt received 1st dose of Moderna vaccine at 10:45 AM . After 15 mins of observation, patient started to have Rt arm soreness and nausea. Then patient developed Rt arm numbness and chest pressure. Patient had some crackers and orange juice . Observed patient until 11:55 AM with no symptoms improvement , then RN transported patient to ER for further evaluation.
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