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From the 6/11/2021 release of VAERS data:

This is VAERS ID 1242793



Case Details

VAERS ID: 1242793 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-03-09
Onset:2021-04-21
   Days after vaccination:43
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805022 / 1 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Blood glucose increased, COVID-19, Decreased appetite, Nausea, SARS-CoV-2 test positive
SMQs:, Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: DM 2, HTN, UTIs, hyperlipidemia
Allergies:
Diagnostic Lab Data: Positive SARS-CoV-2 by PCR from specimen collected 4/21/2021
CDC Split Type:

Write-up: Admitted with high blood glucose, intermittent nausea, decreased appetite. Subsequently found to be COVID1-9 positive. $g14 days post vaccine completion.


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