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

This is VAERS ID 1776697

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Case Details

VAERS ID: 1776697 (history)  
Form: Version 2.0  
Age: 70.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-10-09
Onset:2021-10-10
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-10-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FF8839 / 3 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Axillary pain, Decreased appetite, Fatigue, Hypersomnia, Injection site pain, Lymphadenopathy, Pyrexia, Sleep disorder
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Depression (excl suicide and self injury) (broad), 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:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: 10/092021 Fatigue and moderate pain at injection site 10/10/2021 Awakened at 4am with a pinching pain in armpit, same arm as injection site (left) Applied warm heating pad to armpit. Pain subsided, but needed to reapply several times throughout the day. Severely fatigued, slept several hours throughout the day, loss of appetite, and lo-grade fever (100 degreesF) 10/11/2021 Temperature normal (97 degrees F) Pinching pain in left armpit. Swelling in armpit is visible to the eye.


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