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From the 10/15/2021 release of VAERS data:

This is VAERS ID 1174376

Case Details

VAERS ID: 1174376 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Female  
Location: North Carolina  
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808609 / 1 RA / IM

Administered by: Military       Purchased by: ?
Symptoms: Chest discomfort, Chest pain, Cough, Dysphonia, Throat clearing, Ultrasound chest
SMQs:, Anaphylactic reaction (broad), Parkinson-like events (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None reported
Allergies: Lidocaine
Diagnostic Lab Data: exam and bedside Lung ultrasound to eval for possible pneumothorax after coughing (though low clinical suspicion)
CDC Split Type:

Write-up: approximately 30 minutes after receiving vaccine pt had a coughing fit and then continued to have R sided chest pain/tightness causing continued throat clearing/coughing. Hoarse voice as well. We treated as allergic reaction with IV solumedrol 125mg, IV benadryl 25mg, and one 5mg Albuterol neb treatment with good resolution of symptoms.

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