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

This is VAERS ID 1251502



Case Details

VAERS ID: 1251502 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Male  
Location: Oregon  
Vaccinated:2021-04-10
Onset:2021-04-11
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808982 / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chills, Dyspepsia, Fatigue, Headache, Pyrexia, Rash
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific dysfunction (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (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: None
Current Illness: Cervical disc rupture
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Severe full body rash roughly 36 hours after vaccination. Took Benadryl 48 hours after rash started which resolved the rash. Minor recurrence of rash in patches across body persisting for the past two weeks. Additional symptoms 12 hours after vaccination: heartburn, fever, chills, headache, tiredness . All resolved within 48 hours of vaccination and haven?t returned.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1251502


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