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

This is VAERS ID 1085666



Case Details

VAERS ID: 1085666 (history)  
Form: Version 2.0  
Age: 23.0  
Sex: Female  
Location: Indiana  
Vaccinated:2021-03-06
Onset:2021-03-07
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-03-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1802068 / 1 LA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Arthralgia, Chills, Dysphagia, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamin C Vitamin D3 melatonin trazodone Ritalin Zoloft birth control Allegra nasacort
Current Illness: None
Preexisting Conditions: Scoliosis Insomnia ADD Anxiety Depression
Allergies: Levoquin
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Difficulty swallowing, severe chills, high fever, and severe joint pain appeared 6 hours after the injection. Was treated with Benadryl, Tylenol, and ibuprofen.


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