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

This is VAERS ID 1256211



Case Details

VAERS ID: 1256211 (history)  
Form: Version 2.0  
Age: 26.0  
Sex: Female  
Location: New York  
Vaccinated:2021-04-10
Onset:2021-04-11
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Costochondritis, Inflammation, Muscle tightness, Pain, Tension headache
SMQs:, Dystonia (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: Iron 45mg
Current Illness: Anemia, Interstitial Cystitis
Preexisting Conditions: Interstitial Cystitis
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: Inflammation causing muscle tension in neck and collar bone pain/ flair up of past issues. I had tension headaches and costochondritis in the past. The vaccine made both come back/flair up.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1256211


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