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This is VAERS ID 1759835

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/8/2021

VAERS ID: 1759835
VAERS Form:2
Age:68.0
Sex:Female
Location:Colorado
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 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Private      Purchased by: ??
Symptoms: Lymph node pain, Lymphadenopathy, Rash, Swelling

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: 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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