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This is VAERS ID 1446148

History of Changes from the VAERS Wayback Machine

First Appeared on 7/9/2021

VAERS ID: 1446148
VAERS Form:2
Age:42.0
Sex:Female
Location:New Jersey
Vaccinated:2021-06-26
Onset:2021-06-01
Submitted:0000-00-00
Entered:2021-07-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0196 / 1 RA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Breast pain, Pain in extremity, Axillary pain, Peripheral swelling

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
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:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt called on 07/03/2021 to report pain/swelling in the right arm. No rashes or discoloration and no restriction on the movement. Pt described pain going through right armpit to right breast Pt will observe for few more days and seek doctor''s advise if needed.

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