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This is VAERS ID 1757629

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/8/2021

VAERS ID: 1757629
VAERS Form:2
Age:49.0
Sex:Female
Location:Oregon
Vaccinated:2021-10-01
Onset:2021-10-03
Submitted:0000-00-00
Entered:2021-10-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 3 LA / SYR

Administered by: Pharmacy      Purchased by: ??
Symptoms: Neck pain, Pain, Pain in extremity, Urticaria

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)? No
Hospitalized? No
Previous Vaccinations: Covid series. Similar localized pain/swelling.
Other Medications: Numerous. Provided upon written request.
Current Illness: Fibromyalgia, asthma, all chronic?.
Preexisting Conditions: Fibromyalgia, asthma, chronic bronchitis, PTSD, anxiety, depression, hypertension, allergies, insomnia.
Allergies: Sulfa drugs. Unknown food allergy (never determined).
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Arm all the way up to neck was very sore for the first 2 days. This evening I noticed 3 welts about 4? away from the injection site that are painful to touch and have no other explainable cause..

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