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

This is VAERS ID 1214103



Case Details

VAERS ID: 1214103 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-03-15
Onset:2021-03-24
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 805022 / 1 LA / SYR

Administered by: School       Purchased by: ?
Symptoms: Biopsy skin, Blood test, Culture negative, Rash
SMQs:, Anaphylactic reaction (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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Triamcinolone acetonide cream USP 0.1% Hydrocortisone anti itch cream 1% Prednisone 20MG
Current Illness: No
Preexisting Conditions: No
Allergies: N/A
Diagnostic Lab Data: I had culture''s done on my face and biopsy done on both arms. The culture''s came back negative and no results yet on biopsy. I also had blood work done.
CDC Split Type:

Write-up: I got a rash on my face , head, arms, chest and top part of back. I went to the er and dermatologist and received topical and oral medicine to use and take. The rash appeared about a week and a half after the shot and I still have it.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1214103

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