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He got rocked on the first dropkick. It probably didn't start affecting him until the impact after the driver and second dropkick. He was supposed to take the rainmaker but he was already out cold and ducked due to the previous spots. The people who said he got his shoulder pulled out are idiots because:
1) his arms were moving fine right after the spot and after the pin
2)It wasn't even the arm Adam was supposed to kick out with