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This is VAERS ID 1782620

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/15/2021

VAERS ID: 1782620
VAERS Form:2
Age:39.0
Sex:Female
Location:Vermont
Vaccinated:2021-10-08
Onset:2021-10-09
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: Breast swelling, Discomfort, Dyspnoea, Injection site pain, Oedema peripheral, Axillary pain, Peripheral swelling, Injection site swelling

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? 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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