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This is VAERS ID 1686723

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History of Changes from the VAERS Wayback Machine

First Appeared on 9/10/2021

VAERS ID: 1686723
VAERS Form:2
Age:50.0
Sex:Female
Location:Utah
Vaccinated:2021-09-02
Onset:2021-09-04
Submitted:0000-00-00
Entered:2021-09-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / SYR

Administered by: Pharmacy      Purchased by: ??
Symptoms: Burning sensation, Lymph node pain, Lymphadenopathy, Neuralgia, Pain, Skin disorder, Tenderness

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
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: Swollen, painful lymph nodes in left side of neck and left occipital node stolen to marble- grape size. Extremely painful to the touch. Several smaller lumps spread over left side of scalp. Radiating, sharp/burning nerve pain over left side of scalp.

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