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

This is VAERS ID 1136330



Case Details

VAERS ID: 1136330 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: California  
Vaccinated:2021-03-20
Onset:2021-03-25
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-03-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805029 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Blister, Chills, Headache, Immediate post-injection reaction, Injection site erythema, Injection site pain, Lethargy, Myalgia, Pyrexia, Rash pruritic, Skin warm
SMQs:, Rhabdomyolysis/myopathy (broad), Severe cutaneous adverse reactions (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: At age 26 I received a tetanus vaccine with pertussis and diphtheria and the first vaccine for hepatitis B. That night I went to
Other Medications: Venlafaxine, Amitriptyline, Iron, Multi-Vitamin, Busiprone
Current Illness: No other illnesses
Preexisting Conditions: Complex/Complicated Migraine Headaches (with aura), MDD, GAD
Allergies: Keflex, Septra-DS, Minocycline, Elidel, MAYBE pertussis vaccine
Diagnostic Lab Data:
CDC Split Type:

Write-up: ADVERSE REACTION TODAY: hot, itchy rash on forearms made up of tiny blisters -- $g no tx thus far -- $g OTHER SIDE EFFECTS: Immediate onset: muscle pain at site of injection Onset about 11 hours post-vaccination: fever, chills, muscle aches, site of injection red and in worse pain, headache Onset about 24 hours post-vaccination: earache off and on Onset about 48 hours post-vaccination: fever spiked at 101.8 Onset about 96 hours post-vaccination: lethargic, headache


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1136330


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