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

This is VAERS ID 1454076



Case Details

VAERS ID: 1454076 (history)  
Form: Version 2.0  
Age: 23.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-07-06
Onset:2021-07-07
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Axillary pain, Back pain, Pain in extremity, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Mild rash on lower back at age 15 after taking first dose of oral vaccine for typhoid fever
Other Medications:
Current Illness:
Preexisting Conditions: Major clincial depression coupled with chronic insomnia, mild anxiety disorder Both manifest themselves in physical ways such as pain
Allergies: Mild cashew allergy
Diagnostic Lab Data:
CDC Split Type:

Write-up: Sore arm on side of injection Tender armpit on side of injection Woke up with fever day after injection Pain in middle of back similar day after injection


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1454076


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