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This is VAERS ID 1764734

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/8/2021

VAERS ID: 1764734
VAERS Form:2
Age:60.0
Sex:Female
Location:North Carolina
Vaccinated:2021-10-03
Onset:2021-10-04
Submitted:0000-00-00
Entered:2021-10-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FF2285 / 3 RA / IM

Administered by: Military      Purchased by: ??
Symptoms: Breast swelling, Injection site erythema, Lymphadenopathy, Injection site 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: none
Current Illness: none
Preexisting Conditions: none
Allergies: keflex
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: Redness/swelling at injection site, enlarged axillary lymph nodes, and swelling at the breast.

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