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

This is VAERS ID 1136826



Case Details

VAERS ID: 1136826 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-03-25
Onset:2021-03-26
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-03-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805022 / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chills, Dizziness, Fatigue, Headache, Heart rate increased
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Vestibular disorders (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: unknown
Current Illness: unknown
Preexisting Conditions: unknown
Allergies: none listed
Diagnostic Lab Data: none as of this report
CDC Split Type:

Write-up: Patient started experiencing rapid heart rate around 4AM on 3/26/2021, she had reported to the pharmacist she also has had some dizziness and has stayed in bed. She did have some of the other usual side effects of the vaccine - chills, mild headache, tired. The rapid heart rate has not subsided or worsened. She doesn''t have a primary care doctor. The pharmacist recommended she call 911, which is recommended, just in case it is an allergic reaction and it can be treated quickly.


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