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

This is VAERS ID 1186118



Case Details

VAERS ID: 1186118 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 RA / IM

Administered by: Public       Purchased by: ?
Symptoms: Paraesthesia oral
SMQs:, Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: 12:03 BP 130/76 HR 62 O2 96% 12:24 BP 130/72 HR 66 O2 96% 12:32 BP 132/72 HR 68 O2 97%
CDC Split Type:

Write-up: upper lip tingling, tongue, no SOB, palpitations, edema 12:03 25mg Benadryl given 12:12 numbness subsided 12:24 asymptomatic Walked around for approximately 5 minutes. Denied sleepiness and stated "I am fine to drive"


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1186118


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