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This is VAERS ID 1763091

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/8/2021

VAERS ID: 1763091
VAERS Form:2
Age:35.0
Sex:Female
Location:Unknown
Vaccinated:2021-10-02
Onset:2021-10-04
Submitted:0000-00-00
Entered:2021-10-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH 30155BA / 2 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Fatigue, Headache, Lymphadenopathy, Neck pain, Pain in jaw

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: 0
Current Illness:
Preexisting Conditions:
Allergies: 0
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Swollen lymph node above clavicle, headache, neck and jaw pain, extreme fatigue. all symptoms for 2 days and ongoing.

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