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

This is VAERS ID 1782620

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Case Details

VAERS ID: 1782620 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: Vermont  
Vaccinated:2021-10-08
Onset:2021-10-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-10-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FD0810 / 3 LA / SYR

Administered by: Senior Living       Purchased by: ?
Symptoms: Axillary pain, Breast swelling, Discomfort, Dyspnoea, Injection site pain, Injection site swelling, Oedema peripheral, Peripheral swelling
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Women''s multi vit, immune booster vit, flownase
Current Illness:
Preexisting Conditions: asthma (not problematic for years)
Allergies: yellow jackets, wasps, regland
Diagnostic Lab Data:
CDC Split Type:

Write-up: Site pain and swelling, under arm swelling and soreness that began the day after the vaccine. Swelling increased over next four days to the point of fluid build up in L arm, L breast, L back, L shoulder causing shortness of breath and discomfort. I followed up with my PCP due to the shortness of breath and continued swelling.


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