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

This is VAERS ID 1087221



Case Details

VAERS ID: 1087221 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: Alabama  
Vaccinated:2021-03-08
Onset:2021-03-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-03-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chest pain, Dizziness, Fatigue, Influenza like illness, Rash, Wheezing
SMQs:, Anaphylactic reaction (narrow), Angioedema (broad), Asthma/bronchospasm (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Hypersensitivity (narrow), 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: Dessicated Thyroid 15mg PO Daily; fish oil PO daily; multivitamin PO daily; probiotic PO daily; Vitamin C PO daily
Current Illness: n/a
Preexisting Conditions: hypothyroid; endometriosis
Allergies: Cipro - Hives Doxycycline - N/V Eggs - N/V Gluten sensitivity
Diagnostic Lab Data:
CDC Split Type:

Write-up: Flu-like symptoms, stabbing chest pain, dizziness, fatigue, rash, and wheezing that developed around 0930 on 3/9.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1087221


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