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This is VAERS ID 1766314

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/8/2021

VAERS ID: 1766314
VAERS Form:2
Age:37.0
Sex:Female
Location:Pennsylvania
Vaccinated:2021-10-05
Onset:2021-10-05
Submitted:0000-00-00
Entered:2021-10-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 3 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Back pain, Lymphadenopathy, Neck pain, Pain in extremity, Axillary pain

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: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Arm and started an hour after shot Pain worsened and spread to entire arm, back, neck 12 hours after injection Axillary pain and lymphadenopathy started 24-36 hours later on same arm

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