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From the 10/15/2021 release of VAERS data:

This is VAERS ID 1696801



Case Details

VAERS ID: 1696801 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Female  
Location: South Carolina  
Vaccinated:2021-09-01
Onset:2021-09-14
   Days after vaccination:13
Submitted: 0000-00-00
Entered: 2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Joint swelling, Peripheral swelling
SMQs:, Cardiac failure (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (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: Klonipin, ambien, effexor, Lamictal, Magnesium, potassium gluconate, biotin, vitamin c, vitamin d, black cohosh
Current Illness: None
Preexisting Conditions: Asthma
Allergies: Ceclor, percocet, Darvocet, morphine, eggplant, mango
Diagnostic Lab Data:
CDC Split Type:

Write-up: Swollen feet and ankles


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