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

This is VAERS ID 1138289



Case Details

VAERS ID: 1138289 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Male  
Location: Maryland  
Vaccinated:2021-03-25
Onset:2021-03-25
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-03-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808609 / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Throat irritation
SMQs:, Oropharyngeal conditions (excl neoplasms, infections and allergies) (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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient reported known allergy to shellfish. Following injection, patient reported throat felt itchy but had no other symptoms. Pulse ox indicated 98. Patient was given liquid Benadryl 25 cc/10ml. Patient went home and had recovered at time of departure from facility.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1138289


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