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

This is VAERS ID 1133570



Case Details

VAERS ID: 1133570 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-03-14
Onset:2021-03-25
   Days after vaccination:11
Submitted: 0000-00-00
Entered: 2021-03-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805029 / 1 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Pain in extremity, Rash erythematous, Skin warm
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), 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: sertraline 50mg
Current Illness: none
Preexisting Conditions: none
Allergies: Lortab
Diagnostic Lab Data:
CDC Split Type:

Write-up: Day 11 .. right arm .. red splotchy rash, hot to the touch "Covid Arm" No prior symptoms other than sore arm.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1133570


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