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

This is VAERS ID 1770021

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Case Details

VAERS ID: 1770021 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Female  
Location: Missouri  
Vaccinated:2021-10-04
Onset:2021-10-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-10-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 3 LA / SC

Administered by: Work       Purchased by: ?
Symptoms: Injection site erythema, Nodule
SMQs:, Extravasation events (injections, infusions and implants) (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Venlafaxine Norethinedrone Cetirizine Influenza
Current Illness: N=q
Preexisting Conditions: N/a
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: Small nodule in arm appeared day 1. By day 3 site had generalized redness in about 2 inch diameter around site.


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