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

This is VAERS ID 1764958

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Case Details

VAERS ID: 1764958 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: Arizona  
Vaccinated:2021-10-04
Onset:2021-10-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-10-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 039D21A / 2 RA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Lymphadenopathy, Mobility decreased, Pain, Pain in extremity
SMQs:, Parkinson-like events (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Birth control pills
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data:
CDC Split Type:

Write-up: Extremely swollen lymph nodes in right arm pit. Same arm that I received the vaccination. This occurred within 8 hours of getting the vaccination. My entire right arm is in pain, I cannot use my arm normally without causing extreme pain in my arm pit. Also within 8 hours of receiving the shot, my joints in my entire body hurt. I had nothing wrong with me, no pain anywhere when I went to get the vaccination.


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