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This is VAERS ID 1749653

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/1/2021

VAERS ID: 1749653
VAERS Form:2
Age:54.0
Sex:Female
Location:New Jersey
Vaccinated:2021-09-17
Onset:2021-09-27
Submitted:0000-00-00
Entered:2021-09-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Private      Purchased by: ??
Symptoms: Erythema, Lymph node palpable, Extra dose administered

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 1 week and half after covid booster, developed red streak on R upper arm and palpable lymph node. Booster was given in L arm.

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