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

This is VAERS ID 1759835

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Case Details

VAERS ID: 1759835 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Female  
Location: Colorado  
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 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Lymph node pain, Lymphadenopathy, Rash, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: losartan/HCTZ xarelto 10mg
Current Illness: no
Preexisting Conditions: intermittent issues with blood clots, HTN
Allergies: nkda
Diagnostic Lab Data: note
CDC Split Type:

Write-up: swelling rash and swollen distal cervical/supraclavicular lymphadenopathy and pain 24 hr after and then lymph node presented about 72 hr after


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