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

This is VAERS ID 1133284



Case Details

VAERS ID: 1133284 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-03-25
Onset:2021-03-25
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-03-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Dizziness, Dry mouth, Nausea
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Dehydration (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: Flu vaccine, employee allergic to eggs, must have egg free vaccine
Other Medications: BP pressure medication ( Employee can not remember name of medication) Symbicort Allergic medication (Employee can''t remember the name of the medication)
Current Illness: none
Preexisting Conditions: asthma, HTN
Allergies: Eggs, seafood, dairy, shell fish, iodine
Diagnostic Lab Data:
CDC Split Type:

Write-up: Dizziness, nausea, dry mouth all within two hours of receiving vaccine


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1133284


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