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

This is VAERS ID 1178881

Case Details

VAERS ID: 1178881 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: New Mexico  
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 18050185121 / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Arthralgia, Asthenia, Dizziness, Ear pain, Fatigue, Hypoaesthesia, Limb discomfort, Lymph node pain, Muscle spasms, Pain in extremity, Paraesthesia, Swelling face
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Dystonia (broad), Guillain-Barre syndrome (broad), Vestibular disorders (broad), Hypersensitivity (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Midodrine, flovent, levoxyl, proair inhaler, epi pen prn, Zinc, garlic, probiotics, turmeric, ginger, B complex, vit c, magnesium, omega 3, vit D, MCT oil, cacao powder
Current Illness: migraine
Preexisting Conditions: asthma, hypothyroid, TBI/post concussion syndrome, autonomic dysfunction, neurocardiogenic pre syncope, chronic fatigue, sleep apnea, migraines
Allergies: sulfa, erythromycin, ibuprofen, aspirin, NSAIDS, betadine, chloraprep, latex, avocados, banana, most fruit except citrus, peanuts/nuts, sea food.
Diagnostic Lab Data: none at this point. I have a follow up with my PCP on April 14, 2021
CDC Split Type:

Write-up: The night of my injection I woke up with extreme left arm and scapular pain. It radiated down to my fingers. It all was heavy and number and tingling. That continued most of the day. The next day I was extremely fatigued and weak and stayed in bed. I think had left ear and lymph node pain on the left side of my face and neck. This continued for days. By the 1 week mark after my injection, I ended up at the urgent care with facial swelling and extreme lymph node pain. They stated it was an adverse reaction to the vaccine. As of yesterday, I continue to have some swelling in my jaw and occipital region as noted by the PTA where I go for physical therapy. I continue to experience extreme fatigue, worse than normal and dizziness. My left pinky still has some tingling and vibration feeling. I also still get cramping on this finger and on the ulnar side of my palm.

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