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This is VAERS ID 1723043

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History of Changes from the VAERS Wayback Machine

First Appeared on 9/24/2021

VAERS ID: 1723043
VAERS Form:2
Age:34.0
Sex:Female
Location:California
Vaccinated:2021-09-11
Onset:2021-09-11
Submitted:0000-00-00
Entered:2021-09-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 046C21A / 2 - / SYR

Administered by: Pharmacy      Purchased by: ??
Symptoms: Neck pain, Pain, Pain in extremity

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: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: I had severe pain on my left side starting from the side of my neck all the way down to the tops of my left foot. The pain started a few hours after the vaccine severe pain lasted 3 days and has now turned into a dull pain all the way day my enitre left side same side i had the injection on. I have yet to see a dr for the side effects

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