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

This is VAERS ID 1129025



Case Details

VAERS ID: 1129025 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-03-23
Onset:2021-03-24
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-03-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (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: 50MG Atenolol BID , 40 MG Atorvastatin Daily, 25 MG Alogliptin Daily, 81MG baby aspirin Daily , Flecainide 100MG BID, 10 MG Lisinopril daily , 2000 units Vitamin D, Cholecalif,, Daily 12.5 MG Hydrochlorothiazide Daily , 30 MG Pioglita
Current Illness:
Preexisting Conditions: AFIB/ PSVT, Type 2 Diabetic, NHL- history,
Allergies: none
Diagnostic Lab Data:
CDC Split Type:

Write-up: rash on both arms took pictures


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1129025


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