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From the 11/26/2021 release of VAERS data:

This is VAERS ID 1695482

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Case Details

VAERS ID: 1695482 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: Vermont  
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: ?
Symptoms: Fatigue, Fibrin D dimer, Gait inability, Impaired work ability, Pain in extremity, Peripheral swelling
SMQs:, Cardiac failure (broad), Angioedema (broad), Anticholinergic syndrome (broad), Dystonia (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), 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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Celexa 10mg
Current Illness: None
Preexisting Conditions: None
Allergies: Allergies to pertussis vaccine and amoxicillin
Diagnostic Lab Data: D-dimer at ER.
CDC Split Type:

Write-up: Arm swollen and extremely painful. Morning after vaccine same reaction on lower leg. Went to ER and they refused an ultrasound to check for blood clot but did a d-diner. Same place on leg has gotten worse, unable to walk right. Fatigue so bad I am unable to get out of bed to work. Had not ever felt this way prior to this vaccine.

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