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This is VAERS ID 1759443

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/8/2021

VAERS ID: 1759443
VAERS Form:2
Age:39.0
Sex:Female
Location:New Hampshire
Vaccinated:2021-10-01
Onset:2021-10-02
Submitted:0000-00-00
Entered:2021-10-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Pharmacy      Purchased by: ??
Symptoms: Lymphadenopathy, Mass, Axillary pain, Supraclavicular fossa pain

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:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: Pcn Doxycycline
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Axillary and supraclavicular adenopathy with mild pain. Treated with Ibuprofen.

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