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From the 9/3/2021 release of VAERS data:

This is VAERS ID 1483998



Case Details

VAERS ID: 1483998 (history)  
Form: Version 2.0  
Age: 17.0  
Sex: Female  
Location: New York  
Vaccinated:2021-07-16
Onset:2021-07-01
Submitted: 0000-00-00
Entered: 2021-07-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8732 / 1 LA / SYR

Administered by: School       Purchased by: ?
Symptoms: Bone pain, Bone swelling, Pain in extremity
SMQs:, Haemodynamic oedema, effusions and fluid overload (narrow), Osteonecrosis (broad), Tendinopathies and ligament disorders (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:
Other Medications: Prozac 20 MG
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Left arm pain and soreness. Left side collarbone was in pain. and swollen.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1483998


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