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From the 7/23/2021 release of VAERS data:

This is VAERS ID 1301746

Case Details

VAERS ID: 1301746 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Male  
Location: Arizona  
Submitted: 0000-00-00
Entered: 2021-05-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: ?
Symptoms: Pain, Pharyngeal swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Current Illness: Atrial fibrillation; Hereditary angioedema
Preexisting Conditions: Comments: The patient did not have any known allergies.
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210505450

Write-up: BODY ACHES; THROAT SWELLING; This spontaneous report received from a patient concerned a 43 year old male. The patient''s height, and weight were not reported. The patient''s concurrent conditions included hereditary angioedema, and atrial fibrillation, and other pre-existing medical conditions included the patient did not have any known allergies. The patient received covid-19 vaccine (suspension for injection, intramuscular, batch number: 206A21A expiry: UNKNOWN) dose was not reported, administered on 02-MAY-2021 for prophylactic vaccination. Concomitant medications included apixaban for atrial fibrillation, metoprolol for atrial fibrillation, and sotalol for atrial fibrillation. On 02-MAY-2021, the subject experienced throat swelling. On 03-MAY-2021, the subject experienced body aches. Treatment medications (dates unspecified) included: icatibant acetate. The action taken with covid-19 was not applicable. The patient recovered from throat swelling on 02-MAY-2021, and had not recovered from body aches. This report was non-serious.

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