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

This is VAERS ID 1232481



Case Details

VAERS ID: 1232481 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-04-11
Onset:2021-04-11
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 UN / IM

Administered by: Private       Purchased by: ?
Symptoms: Blood folate, Blood thyroid stimulating hormone, Chills, Differential white blood cell count, Full blood count, Hypoaesthesia, Metabolic function test, Pain, Palpitations, Paraesthesia, Platelet count, Pyrexia, Red blood cell sedimentation rate, Vitamin B12
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), 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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Topiramate (25MG Tablet, 1 tab Oral two times daily, SUMAtriptan Succinate (100MG Tablet, 1 tab Oral as needed, Clindamycin Phosphate (1% Gel, External in morning, Mirena (52 MG) (20MCG/24HR IUD, Intrauterine, Ventolin (90MCG/ACT Ae
Current Illness:
Preexisting Conditions: Asthma Raynaud''s Syndrome [2013]: Migraine headache
Allergies: Amoxicillin *PENICILLINS* Immune to Amoxicillin Aluminum Acetate *DERMATOLOGICALS* Rash. Magnesium Oxide *MINERALS & ELECTROLYTES* Hives, Rash.
Diagnostic Lab Data: will check labs. consider neuro Current Plans VITAMIN B-12 (CYANOCOBALAMIN) (82607) FOLIC ACID SERUM (82746) CBC, PLATELETS & AUT DIFF (85025) TSH (THYROID STIMULATING HORMONE) (84443) METABOLIC PANEL, COMPREHENSIVE (80053) QUEST BLOOD DRAW (36415) SED RATE ERYTHROCYTE (85651)
CDC Split Type:

Write-up: I recieved the vaccine on 04/11/2021 at Pharmcy in the left arm and started having numbness/tingling in my extremities 72 hours later. I had fever chills and aches within the first 24 hours after the vaccine. The body aches were there till Thursday. Once the body aches started subsiding, I felt the numbness and tingling in the legs on Thursday. Then it spread to my arms. Stays in the legs. Then I started feeling in back of arms and upper back. Certain things make it worse, laying and sitting is worse. Standing helps it. I have no swelling. I have never had a reaction before to a vaccine. No problems ambulating, no breathing problems, no wheezing. I would also like a refill of my headache medication and inhaler today. The patient is a 35 year old female who presents with a complaint of COVID vaccine reaction. COVID Janssen J&J vaccine recieved on 04/11/2021 at Pharmacy, IM in left deltoid. Several hours later I had fever/chills/body aches/ racing heart which lasted 24 hours. The body aches lasted for 72 hours. I began noticing numbness and tingling in my extremities as well as in my upper back. The numbness and tingling worsens when I sit and lay down. No bowel/ bladder problems. I also have Raynaud''s and I do not know if that ties in to my symptoms at all. My nipples have also been abnormally hard and sensitive. Note: hx of raynauds denies cp/sob/rash/abdominal pain/n/v/bowel or bladder incontinence/seziures/syncope. symptoms are constant. no fam hx of neurological conditions. no injury and no fall. able to walk okay. no muscle weakness. no rashes. pt denies anaphylaxis


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