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From the 11/19/2021 release of VAERS data:

This is VAERS ID 902725

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Case Details

VAERS ID: 902725 (history)  
Form: Version 2.0  
Age: 80.0  
Sex: Male  
Location: Virginia  
Vaccinated:2020-12-14
Onset:2020-12-16
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2020-12-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Mobility decreased, Pain in extremity
SMQs:, Parkinson-like events (broad), Tendinopathies and ligament disorders (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: I take one baby asprin daily, one fish oil pill daily and one vitamin c tablet daily
Current Illness: No illnesses
Preexisting Conditions: No
Allergies: I don''t have any allergies to medications or food.
Diagnostic Lab Data: None
CDC Split Type:

Write-up: I experienced a sore arm and could not lift my arm.


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