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This is VAERS ID 1474562

History of Changes from the VAERS Wayback Machine

First Appeared on 7/16/2021

VAERS ID: 1474562
VAERS Form:2
Age:50.0
Sex:Female
Location:New York
Vaccinated:2021-06-26
Onset:2021-07-03
Submitted:0000-00-00
Entered:2021-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0178 / 1 LA / SYR

Administered by: School      Purchased by: ??
Symptoms: Arthralgia, Pain in extremity, Axillary pain

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: trulicity, lisinopril, metoprolol, levothyroxine, rosuvastatin, and multivitamin
Current Illness: diabetes, high blood pressure, kidney disease, high cholesterol
Preexisting Conditions: diabetes, kidney failure,
Allergies: penicillian
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: One week after injection, server pain on the whole left arm, arm pit, and back shoulder blade. The pain has not gone away.

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