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

This is VAERS ID 1231417

Case Details

VAERS ID: 1231417 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: Florida  
   Days after vaccination:10
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 02529042 / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Contusion, Hypoaesthesia, Nervousness, Pain, Pain in extremity, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Peripheral neuropathy (broad), Haemorrhage terms (excl laboratory terms) (narrow), Guillain-Barre syndrome (broad), Accidents and injuries (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Tendinopathies and ligament disorders (broad), Hypoglycaemia (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: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Please advise me about it blood clot studies. I?m scared
CDC Split Type:

Write-up: Pain still in my left arm. Now in my right side. It?s like a ghost image of pain. Numbness in my right arm and leg. Also a bruise on my right side under my rib, that After 4-5 days it has become a lump. Endless heads Please tell me where I can get the best help for my concerns with the J&J vaccine I received.

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