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From the 9/10/2021 release of VAERS data:

This is VAERS ID 1082310



Case Details

VAERS ID: 1082310 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-03-06
Onset:2021-03-06
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-03-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 - / IM

Administered by: Public       Purchased by: ?
Symptoms: Fatigue, Immediate post-injection reaction, Laboratory test normal, Rash, Swelling face, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Angioedema (narrow), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Alendronate Wellbutrin XL Cyanocobalamin Ibuprofen Xiddra Zestoretic
Current Illness: None
Preexisting Conditions: Depression HTN Osteopenia
Allergies: None
Diagnostic Lab Data: Transferred to local ER following near syncopal episode at PCP following medication administration. Labs normal.
CDC Split Type:

Write-up: Facial swelling, Diffuse facial rash- 24 hours after vaccine administation Extreme fatigue- immediately following vaccine x2 days Evaluated by PCP and given IM Benadryl and Decadron


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1082310


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