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

This is VAERS ID 1133990



Case Details

VAERS ID: 1133990 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: North Dakota  
Vaccinated:2021-03-17
Onset:2021-03-25
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-03-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805025 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chills, Headache, Nausea
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

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: NONE REPORTED
Current Illness: PATIENT DID HAVE COVID BUT MORE THAN A MONTH PRIOR TO RECEIVING THE VACCINATION
Preexisting Conditions: NONE
Allergies: NONE REPORTED
Diagnostic Lab Data: NONE
CDC Split Type:

Write-up: HEADACHE, CHILLS, NAUSEA; PATIENT EXPLAINED SYMPTOMS AS BEING EXACTLY HOW SHE FELT WHEN SHE HAD COVID


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1133990


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