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

This is VAERS ID 1213487



Case Details

VAERS ID: 1213487 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Female  
Location: South Carolina  
Vaccinated:2021-04-12
Onset:2021-04-13
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN N/A / 1 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Migraine, Mobility decreased, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: HUMIRA CF PEN 40MG/0.4ML, ADDERALL XR CAP 10MG, AMBIEN TAB 10MG, ESTRADIOL TAB 1MG, LEVOTHYROXINE SDV 100MCG, UBRELVY TAB 100MG
Current Illness:
Preexisting Conditions: Disorder of thyroid, Attention-deficit hyperactivity disorder, Migraine, Hormone replacement therapy (postmenopausal), Psoriasis vulgaris, Sleep disorder
Allergies: Actonel, Bactrim
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient reports they injected Humira on Sunday 4/11, then they got their J&J COVID vaccine on Monday 4/12. Patient reports they developed a fever of 103?F for 2 days and could not get out of bed the first day. Patient has also had a migraine for 3 days that is improving, and today it comes-and-goes. Patient also takes estrogen, so they are concerned for thrombosis risk. Patient denies blurred vision, fainting or loss of consciousness, or other changes in mental status. Patient also denies swollen or redness in their calves and ankles.


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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1213487

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