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

This is VAERS ID 1248473



Case Details

VAERS ID: 1248473 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: New Mexico  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chills, Fatigue, Headache, Hyperhidrosis, Nausea, Oropharyngeal pain, Pain, Pain in extremity, Pyrexia, Vertigo
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (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: None
Current Illness: Allergy?s a month before.
Preexisting Conditions: None
Allergies: Not aware of any.
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Sore throat,-lasted a week,/sweating, chills, -a few hours, /nausea a few hours/, headache, fever, - on and off for 2 weeks,/ vertigo,, sore arm, fatigue,body ache -2 weeks.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1248473


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