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

This is VAERS ID 1267571



Case Details

VAERS ID: 1267571 (history)  
Form: Version 2.0  
Age: 70.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-03
Onset:2021-04-19
   Days after vaccination:16
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Arthralgia, Full blood count normal, Lymphadenopathy, Metabolic function test, Pain in jaw
SMQs:, Osteonecrosis (broad), Arthritis (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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamin D
Current Illness: none
Preexisting Conditions: Anxiety, GERD, hyperlipidemia, Irritable bowel, osteopenia, latent TB
Allergies: Codeine-- hives
Diagnostic Lab Data: Normal CBC and CMP drawn on 4/27/2021
CDC Split Type:

Write-up: Submandibular lymphadenopathy, severe bilateral temporomandibular joint pain started 4/19/2021. Patient went to urgent care and received cephalexin without improvement. Patient saw me 4/27/2021 and we are trying pain control with naproxen and hydrocodone?acetaminophen as needed for pain. Labs below were drawn.


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