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

This is VAERS ID 1262381



Case Details

VAERS ID: 1262381 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-09
Onset:2021-04-11
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Dysgeusia, Full blood count, Headache, Immediate post-injection reaction, Metabolic function test, Nausea, Pain, Pyrexia, Vertigo
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (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? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Mirena hormonal IUD, Omeprazole
Current Illness:
Preexisting Conditions: Migraines, Reflux disease
Allergies: Torodal
Diagnostic Lab Data: CBC, CMP
CDC Split Type:

Write-up: The above is unknown, the patient received the Janssen (J&J) vaccine at a pharmacy. The patient has had a high fever, nausea and vertigo. The patient had body aches lasting 3 days and described a chemical taste in mouth that occurred immediately after vaccination. The patient still reports a HA, other symptoms have subsided.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1262381


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