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From the 1/14/2022 release of VAERS data:

This is VAERS ID 930081

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Case Details

VAERS ID: 930081 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: Nebraska  
Vaccinated:2020-12-30
Onset:2020-12-31
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025J20-2A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Arthralgia, Product administered at inappropriate site
SMQs:, Drug abuse and dependence (broad), Arthritis (broad), Medication errors (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: birth control pill,
Current Illness: none
Preexisting Conditions: none
Allergies: macrobid, sulfa, minocycline, cephalexin,codeine
Diagnostic Lab Data: Doctor vist with on January 8, 1:45pm, physical therapy appt scheduled for January 11, 2021 at 08:00 am
CDC Split Type:

Write-up: shoulder joint pain, injection was given in joint.... I am now on prednisone, physical therapy, if this doesnt help will need a MRI .


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