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This is VAERS ID 1760004

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/8/2021

VAERS ID: 1760004
VAERS Form:2
Age:44.0
Sex:Female
Location:Georgia
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 - / 3 LA / SYR

Administered by: Pharmacy      Purchased by: ??
Symptoms: Pain in extremity, Axillary pain, Axillary mass, Injected limb mobility decreased

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: None
Current Illness: None
Preexisting Conditions: Asthma High blood pressure Heart disease
Allergies: Latex Iodine Bupropion Shrimp
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Lump under left armpit the size of a baseball, painful arm, painful armpit. Can?t raise left arm. Treatment is rest for 2 days and Mobic.

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