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From the 11/19/2021 release of VAERS data:

This is VAERS ID 1759048

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Case Details

VAERS ID: 1759048 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: Louisiana  
Vaccinated:2021-10-01
Onset:2021-10-02
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-10-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0161 / 3 LA / IM

Administered by: Work       Purchased by: ?
Symptoms: Injection site pain, Lymph node pain, Lymphadenopathy, Vaccine positive rechallenge
SMQs:, Extravasation events (injections, infusions and implants) (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (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: COVID dose #1 Pfizer on 12-23-20
Other Medications: Singulair, Trelogy inhaler, Otezla, Xyzal, Protonix, Premarin
Current Illness: none
Preexisting Conditions: Asthma, Allergies
Allergies: Cephalosporins
Diagnostic Lab Data: n/a
CDC Split Type:

Write-up: Dose #3: Left Subclavian swelling and palpable lymph node with pain/tenderness to site. This happened with dose 1 given in left arm as well and lasted 3 weeks.


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