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

This is VAERS ID 1252400



Case Details

VAERS ID: 1252400 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Female  
Location: California  
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 202A21A / 1 RA / IM

Administered by: Other       Purchased by: ?
Symptoms: Blood test normal, Chest X-ray normal, Chest discomfort, Chills, Electrocardiogram normal, Fatigue, Full blood count normal, Musculoskeletal chest pain, Pyrexia, Respiration abnormal
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Respiratory failure (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: Sulfa
Diagnostic Lab Data: On Thursday April 15 an EKG, CHEST XRAY, Blood work for CBC and Blood clots all came back normal.
CDC Split Type:

Write-up: The next day I was very fatigue and had body chills and mild fever. On monday I had chest tightness . I was still able to breathe and noticed that this was not normal. I pressumed my day as usual. On Thursday I went to my local urgent care. They performed an EKG, Blood test to rule out infection and blood clots and a chest x ray. All of my test came back NORMAL. My Dr. stated that it was " CHEST WALL MUSCLE PAIN" The CHEST TIGHTNESS WENT AWAY ON SUNDAY. 1 week later from the day of the injection.


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