From the 4/30/2021 release of VAERS data:
This is VAERS ID 1133185
| Days after vaccination:||0
|Vaccination / Manufacturer
||Lot / Dose
||Site / Route|
|COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN
||1085029 / N/A
||RA / IM
Administered by: Private Purchased by: ?
Symptoms: Periorbital swelling,
Swelling of eyelid
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Periorbital and eyelid disorders (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Life Threatening? No
Birth Defect? No
Permanent Disability? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Diagnostic Lab Data: Employee was escorted to Emergency Room for further evaluation. States that she was given steroid injection and then prescribed oral steroid taper pack.
CDC Split Type:
Write-up: Approximately 15 minutes after receiving dose of vaccine, employee states that she began to itch all over. Eyelids and periorbital area began to swell. She did not experience any shortness of breath or difficulty swallowing.
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