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

This is VAERS ID 1213313



Case Details

VAERS ID: 1213313 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Female  
Location: Oregon  
Vaccinated:2021-03-12
Onset:2021-03-31
   Days after vaccination:19
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test normal, Epistaxis
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow)

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: Multivitamin, KCL 99 mg once a day OTC, 81 mg ASA
Current Illness:
Preexisting Conditions: Hypertension
Allergies: Flagyl
Diagnostic Lab Data: See ER information but they did check my blood but it?s unknown to me the results except they said it looked normal.
CDC Split Type:

Write-up: 19 days after receiving vaccine I had a nose bleed that I couldn?t stop and neither could ER until they packed my nose after four hours of continued bleeding. I never had a nosebleed before and have had one weekly since then.


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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1213313

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