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

This is VAERS ID 1263852



Case Details

VAERS ID: 1263852 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-04-11
Onset:2021-04-19
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Blood test normal, Computerised tomogram normal, Dizziness, Electrocardiogram normal, Fatigue, Headache, X-ray normal
SMQs:, Anticholinergic syndrome (broad), Vestibular disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Ibuprofen 200 mg every four hours from April 19-23 Meclizine 3x a day Naproxen 500mg 2x a day
Current Illness: None
Preexisting Conditions: None
Allergies: Antihistamine 1 time on April 11 nighttime
Diagnostic Lab Data: According to doctor, EKG good, blood tests good, X-ray of both heart and lungs good, CT scan good
CDC Split Type:

Write-up: Headache, dizziness, lightheadedness, tiredness it?s persistent not going away since vaccination until now, will have a follow up with the doctor this week


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1263852


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