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From the 11/26/2021 release of VAERS data:

This is VAERS ID 1761578

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Case Details

VAERS ID: 1761578 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-09-28
Onset:2021-09-30
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-10-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0175 / 3 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Lymph node pain, Lymphadenopathy
SMQs:, Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: not known
Current Illness: Tested + for COVID on 9/4/21 after 9/1/21 exposure.
Preexisting Conditions: none known
Allergies: no vaccine allergies, other allergies unknown
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Recipient developed very painful, swollen lymph node in axilla. 600mg ibuprofen administered at home by recipient and symptoms decreased. After the incident, the recipient recalled that she had received monoclonal antibody treatment after her COVID diagnosis in early September and forgot to mention that prior to receiving the booster vaccination. Symptoms lasted approximately 4 days.


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