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

This is VAERS ID 1238705



Case Details

VAERS ID: 1238705 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-04-01
Onset:2021-04-19
   Days after vaccination:18
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808978 / 1 RA / IM

Administered by: Senior Living       Purchased by: ?
Symptoms: Abdominal pain, Chills, Fatigue, Feeling abnormal, Headache, Nausea, Pyrexia, Vertigo, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Dementia (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (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? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamin B12 , Calcium
Current Illness: N/A
Preexisting Conditions: DM2
Allergies: N/A
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: 4/19/20/21- vertigo, nausea, vomiting, headache, head fog, abdominal pain, fatigue, chills, low grade fever - Meclizine and Advil 4/22/2021- headache and head fog - Meclizine and Advil


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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1238705


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