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This is VAERS ID 1776646

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/15/2021

VAERS ID: 1776646
VAERS Form:2
Age:57.0
Sex:Female
Location:Wisconsin
Vaccinated:2021-10-01
Onset:2021-10-01
Submitted:0000-00-00
Entered:2021-10-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 3 RA / -

Administered by: Public      Purchased by: ??
Symptoms: Lymphadenopathy

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: Hydrochlorothiazide Acebutolol Paroxetine
Current Illness: none
Preexisting Conditions: diverticulitis hypertension
Allergies: penicillin sulfa
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: Swollen lymph nodes arm pit, clavicle and neck. Have been icing/heat and alternating with acetaminophen and ibuprofen.

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