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

This is VAERS ID 1242914



Case Details

VAERS ID: 1242914 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:2021-03-12
Onset:2021-04-19
   Days after vaccination:38
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805025 / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamin B12, B1, C, stool softener, folic acid, fish oil, Omeprazole, Sertraline, Levothyroxin, aspirin
Current Illness: None other than off and on symptoms from COVID - COVID positive was November 2020. Symptoms are headaches and fatigue
Preexisting Conditions: Chronic depression and acid reflux
Allergies: Celexa, Cefdinir/sulfa, amoxicillin, latex tape/band aids
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Pain at injection site - 6 weeks after injection - Other two office workers who received same vaccination 1 day after mine also experienced the same issue


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1242914


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