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This is VAERS ID 1136672

History of Changes from the VAERS Wayback Machine

First Appeared on 4/1/2021

VAERS ID: 1136672
VAERS Form:2
Age:59.0
Sex:Female
Location:Florida
Vaccinated:2021-03-22
Onset:2021-03-26
Submitted:0000-00-00
Entered:2021-03-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805029 / UNK - / -

Administered by: Private      Purchased by: ??
Symptoms: Injection site erythema, Injection site pain, Injection site warmth, Injection site swelling

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: swelling at the site lasting 1 day
Other Medications: Carvedilol, Topiramate, Buspirone, Aspirin, Fluoxetine, Clopidogrel, Amlodipine, Atrovastatin, Melatonin
Current Illness:
Preexisting Conditions: CHF, Migraines, Depression,
Allergies: Imitrex, Keppra, Compazine, Morphine
Diagnostic Lab Data: no testing
CDC 'Split Type':

Write-up: Swelling at injection site started within 15 minutes of injection over the next day the site grew to golf ball size with redness and heat very painful. Injection site continues to be golf ball size, hot to touch, and red and purple in the area now day 5.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1136672&WAYBACKHISTORY=ON


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