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

This is VAERS ID 1186162



Case Details

VAERS ID: 1186162 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Female  
Location: Maryland  
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 - / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal pain upper, Back pain, Chills, Dizziness, Feeling cold, Migraine, Pain
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (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: Metoprolol Succinate, Metoprolol Tartrate, Claritin, Tylenol, Montelukast, Epi Pen, Vitamin D3, prenatal
Current Illness: Childbirth
Preexisting Conditions: Ehlers-Danlos Syndrome, chronic pain, mitral/pulmonic/aortic valve prolapses and regurgitation, SVTs, and IRBBB
Allergies: Penicillin, Bees, Maple, Pineapple
Diagnostic Lab Data:
CDC Split Type:

Write-up: Cold chills, migraine, lightheaded, stomach cramping, back pain, body aches


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1186162


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