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This is VAERS ID 930081

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History of Changes from the VAERS Wayback Machine

First Appeared on 1/22/2021

VAERS ID: 930081
VAERS Form:2
Age:42.0
Sex:Female
Location:Nebraska
Vaccinated:2020-12-30
Onset:2020-12-31
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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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: 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 .


Changed on 5/7/2021

VAERS ID: 930081 Before After
VAERS Form:2
Age:42.0
Sex:Female
Location:Nebraska
Vaccinated:2020-12-30
Onset:2020-12-31
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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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: birth control pill,
Current Illness: none
Preexisting Conditions: none
Allergies: macrobid, sulfa, minocycline, cephalexin,codeine 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 .


Changed on 5/21/2021

VAERS ID: 930081 Before After
VAERS Form:2
Age:42.0
Sex:Female
Location:Nebraska
Vaccinated:2020-12-30
Onset:2020-12-31
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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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: birth control pill,
Current Illness: none
Preexisting Conditions: none
Allergies: macrobid, sulfa, minocycline, cephalexin,codeine 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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