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From the 4/30/2021 release of VAERS data:

This is VAERS ID 1131436



Case Details

VAERS ID: 1131436 (history)  
Form: Version 2.0  
Age: 18.0  
Sex: Female  
Location: New York  
Vaccinated:2021-03-24
Onset:2021-03-24
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-03-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808609 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal pain upper, Dizziness, Feeling hot, Nausea, Vomiting
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt started to feel hot and nauseous about 5 minutes after injection. Pt said her stomach ''hurt really bad'' and started to vomit a few minutes later. After several minutes, pt started to pass out, so moved her to the floor for safety. Several minutes after that, pt started to feel better. Soon after she was sitting up, and later, able to tolerate an orange juice, then leave on her own.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1131436


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