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From the 9/17/2021 release of VAERS data:

This is VAERS ID 1382048



Case Details

VAERS ID: 1382048 (history)  
Form: Version 2.0  
Age: 12.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-05-22
Onset:2021-06-04
   Days after vaccination:13
Submitted: 0000-00-00
Entered: 2021-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6205 / 1 RA / IM

Administered by: Public       Purchased by: ?
Symptoms: Blood lactate dehydrogenase normal, Blood uric acid normal, Differential white blood cell count normal, Full blood count normal, Lymph node pain, Lymphadenopathy, Metabolic function test normal
SMQs:, Drug reaction with eosinophilia and systemic symptoms syndrome (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: MMR - 6 months old; rash
Other Medications: Budesonide nasal spray 2 sprays each nostril once daily Miralax prn
Current Illness: none
Preexisting Conditions: Allergic rhinitis Asthma
Allergies: EGGS
Diagnostic Lab Data: CMP, CBC with diff, LDH, uric acid obtained 6/7/21; all labs normal
CDC Split Type:

Write-up: Day 13 after Pfizer vaccine, patient felt a lump below clavicle on R side Saw Dr. 6/5 - per prescriber, ~ 1.5 cm lymph node subclavicle; tender, discrete, moveable No other lymph nodes of concern As of 6/8 - lymph node still same size


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