From the 4/26/2024 release of VAERS data:

This is VAERS ID 902763

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Case Details

VAERS ID:	902763 (history)
Form:	Version 2.0
Age:	59.0
Sex:	Female
Location:	Rhode Island

Vaccinated:	2020-12-16
Onset:	2020-12-16
Days after vaccination:	0
Submitted:	0000-00-00
Entered:	2020-12-16

Vaccination / Manufacturer	Lot / Dose	Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH	EH9899 / 1	LA / IM

Administered by: Private Purchased by: ?
Symptoms: Injection site pain, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: HCTZ, gabapentin
Current Illness: None
Preexisting Conditions:
Allergies: latex, thimerosal
Diagnostic Lab Data:
CDC Split Type:

Write-up: Soreness and swelling at injection site

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