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This is VAERS ID 1759695

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/8/2021

VAERS ID: 1759695
VAERS Form:2
Age:53.0
Sex:Female
Location:Texas
Vaccinated:2021-10-01
Onset:2021-10-03
Submitted:0000-00-00
Entered:2021-10-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH 30135BA / 3 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Arthralgia, Burning sensation, Fatigue, Oedema peripheral, Pain, Pain in extremity, Rash

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: zyrtec, probiotic, lisinopril
Current Illness: none
Preexisting Conditions: hypertension
Allergies: none
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Approximately 15 hours after vaccine had arm soreness and general fatigue. By that evening, experienced extreme pain in shoulder and armpit with swelling in armpit. Sunday morning or approximately 36 hours post vaccine, experienced a burning rash on the torso, back, neck and head along with body aches.

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