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

This is VAERS ID 1243276



Case Details

VAERS ID: 1243276 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-04-10
Onset:2021-04-12
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 RA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Chills, Laboratory test normal, Sexually transmitted disease test, Vaginal ulceration
SMQs:, Severe cutaneous adverse reactions (broad), Hypersensitivity (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Multivitamin, collagen peptides, calcium, vitamin D
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Tested for SDIs and saw medical professionals - all tests came back negative. Tested on 4/14 and 4/19.
CDC Split Type:

Write-up: Janssen COVID-19 Vaccine Symptom: vaginal ulcers appeared approximately two days after dosage. Chills one day after vaccine.


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