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This is VAERS ID 1346437

History of Changes from the VAERS Wayback Machine

First Appeared on 5/28/2021

VAERS ID: 1346437
VAERS Form:2
Age:13.0
Sex:Male
Location:Massachusetts
Vaccinated:2021-05-19
Onset:2021-05-22
Submitted:0000-00-00
Entered:2021-05-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Pain in extremity, Peripheral swelling

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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:
Current Illness:
Preexisting Conditions:
Allergies: Penicillins
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Bilateral lower leg mild swelling and moderate pain, pain worse to right leg Pt is taking Tylenol and ibuprofen with good pain relief Pt is raising legs while sleeping at night which helps reduce the swelling

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1346437&WAYBACKHISTORY=ON


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