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

This is VAERS ID 1258094

Case Details

VAERS ID: 1258094 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: Virginia  
   Days after vaccination:10
Submitted: 0000-00-00
Entered: 2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808978 / 1 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Blood cholesterol decreased, Blood glucose normal, Fatigue, Feeling abnormal, High density lipoprotein increased, Injection site bruising, Injection site pain, Injection site swelling, Low density lipoprotein increased, Lymphadenopathy, Muscle spasms, Muscle swelling, Muscle twitching, Myalgia, Neck pain, Pain in extremity
SMQs:, Rhabdomyolysis/myopathy (broad), Dyslipidaemia (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Dementia (broad), Dyskinesia (broad), Dystonia (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NP Thyriod, Progesterone, DHEA, D3, Multivitamin
Current Illness: None
Preexisting Conditions: Hypothyroidism and Hashimotos
Allergies: Keflex antibiotic, gluten and soy intolerant
Diagnostic Lab Data: Bloodwork April 15 normal other than glucose 102, cholesterol 220 and ldl and hdl high with high ratio
CDC Split Type:

Write-up: Shot arm swelling, pain and bruise, fatigue and loopiness for 5 days, then better for about 5 days. 10 days in upper body stestemic response with muscle twitching, pain and swelling. Shot arm and other arm pain, neck pain and pectoral muscle pain. Went to Dr who diagnosed on the 15th. He ran blood work which was normal other than cholesterol 220, ldl and hdl high and glucose was 102. Then twitching moves to lower limbs with lymph swelling behind knees at 21 days in. Went back to Dr. On the 22nd. He considered it still an inflammatory response. Now at 26 days out, still have some lower limb twitching and upper body muscle spams have begun again mainly on right hand side non shot arm.

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