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This is VAERS ID 1775192

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/15/2021

VAERS ID: 1775192
VAERS Form:2
Age:41.0
Sex:Female
Location:Ohio
Vaccinated:2021-10-08
Onset:2021-10-09
Submitted:0000-00-00
Entered:2021-10-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FF2589 / 3 LA / SYR

Administered by: Pharmacy      Purchased by: ??
Symptoms: Injection site erythema, Injection site mass, Injection site pain, Injection site swelling

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: Hydroxyzine, amoxicillin
Current Illness:
Preexisting Conditions: Seasonal allergies
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Swelling, pain, red lump at injection site

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