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From the 6/4/2021 release of VAERS data:

This is VAERS ID 1185107



Case Details

VAERS ID: 1185107 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-08
Onset:2021-04-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / UNK LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Chest pain, Dyspnoea, Swelling face
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: 2 Advil at 7am
Current Illness: n/a
Preexisting Conditions: n/a
Allergies: allergic to bee stings
Diagnostic Lab Data:
CDC Split Type:

Write-up: Chest pain, difficulty getting enough breath, facial swelling.


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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1185107


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