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

This is VAERS ID 1130047

Case Details

VAERS ID: 1130047 (history)  
Form: Version 2.0  
Age: 82.0  
Sex: Female  
Location: Illinois  
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 2021-03-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805025 / 1 - / IM

Administered by: Other       Purchased by: ?
Symptoms: Dizziness
SMQs:, Anticholinergic syndrome (broad), Vestibular 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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Eliquis combigan vitamin d coq10 vit b12 cardizem cd trusopt lexapro cozaar nitrostat prilosec actos crestor
Current Illness:
Preexisting Conditions:
Allergies: barbituates codeine penicillins
Diagnostic Lab Data: pending
CDC Split Type:

Write-up: 3/24/21 eval of dizziness . States sx started this morning . Was in hospital and transferred approx. 1 week ago for dehydration and a-fib. Denies nausea or vomiting.

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