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

This is VAERS ID 1260727



Case Details

VAERS ID: 1260727 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-04-10
Onset:2021-04-11
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Asthenia, Fatigue, Feeling cold, Hot flush, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (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? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Flovent Multivitamin
Current Illness: None
Preexisting Conditions: Asthma Migraines
Allergies: Peanuts (severe) Soy
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Next day woke up at ~3am with; fever, hot and cold flashes, and weakness and fatigue. These symptoms persisted until end of the day 4/12.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1260727


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