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From the 5/7/2021 release of VAERS data:

This is VAERS ID 1128584



Case Details

VAERS ID: 1128584 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-03-20
Onset:2021-03-24
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-03-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1802068 / UNK LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: 10 mg amLODIPine, 250 mg vitamin C, 81 mg aspirin, 80 mg atorvastatin, 50 mcg vitamin D3, ferrous sulfate 325, 2300 mcg vtamin B12, 180 mg fexofenadine, 50 mg hydroCLOROthiazide, 100 mg losartan, 250 mg magnesium, 750 mg X 2 metFORMIN, 60 m
Current Illness: high blood pressure issues
Preexisting Conditions: diabetes, sleep apnea, mild hypertension
Allergies: cipro,
Diagnostic Lab Data:
CDC Split Type:

Write-up: muscle soreness across the entire body


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1128584


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