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

This is VAERS ID 1771923

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Case Details

VAERS ID: 1771923 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-10-02
Onset:2021-10-04
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-10-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 3 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Breast swelling, Extra dose administered, Lymphadenopathy, Oedema peripheral
SMQs:, Cardiac failure (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Medication errors (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (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: Flu shot - almost blacked out with muscle fatigue afterward. Suspected air in the vaccine due to noise when administered 1st Pf
Other Medications: Metoprolol, Amlodipine, Rosuvastatin, diazepam, vitamin d3, multi-vitamin without iron
Current Illness: stomach bug with diarrhea about 1 month prior
Preexisting Conditions: labile hypertension, gerd, anxiety, seasonal allergies/sinus issues with mild asthma, cardiac arrhythmias with decreased LVEF (from prior chemo) breast cancer survivor
Allergies: sulfa, all dyes, codeine, strawberries
Diagnostic Lab Data:
CDC Split Type:

Write-up: Large swelling under left armpit that extends to bottom of breast and looks like it may include a portion of the left breast. Doctor and myself are assuming this is a lymph node swelling event, precipitated by the Pfizer booster shot. We will check at the doctor''s office, if swelling doesn''t go down in a few weeks. In other words, I contacted my primary care physician (who was on vacation) and this was advice given to me by the attending doctor


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