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

This is VAERS ID 1135423



Case Details

VAERS ID: 1135423 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: Unknown  
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 1808609 / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Fatigue, Headache, Vital signs measurement
SMQs:

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:
Current Illness:
Preexisting Conditions: Brain Cancer (Pt had brain surgery 6 years ago) Headaches
Allergies: Milk, cheese, Advil
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient reports feeling tired and headaches. No lightheadedness, no hives or flushing. Patient was seen and assessed by EMS. BP 137/91, pulse 78, Spo2 100%, BS 152. Patient reports feeling better (symptoms improved) cleared by EMS


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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1135423


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