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

This is VAERS ID 1314285



Case Details

VAERS ID: 1314285 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-05-03
Onset:2021-05-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal discomfort, Fatigue, Headache, Influenza like illness, Injection site pain, Neck pain, Pain, Pyrexia, Sinus congestion
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Arthritis (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: Procardia 60mg, Synthroid 150 mg, Vitamin D, Valsartin 160 mg, Celexa 40 mg
Current Illness:
Preexisting Conditions: Kidney disease, Hypo-thyroid
Allergies: Penecillin, Tetrocyclene, Mangos, Fish,
Diagnostic Lab Data:
CDC Split Type:

Write-up: 12 hours after injection, came down with flu like symptoms, major head congestion, fever, body aches, headache, severe fatigue, lasted about 36 hours. 24 hours after injection, severe pain in left side of neck radiating down to the injection site in my left arm. At first felt like a stiff neck, but then progressed to severe radiating pain starting at neck and radiating down to injection site and then spreading to shoulder area. Took Tylenol every 4 hours. Pain would subside, and then suddenly come back with in 3.5 to 4.0 hours. Gradually worsened to the point that I almost went to the hospital. Took hot showers and put heating pad on shoulder. Pain level about 8. Pain lasted about 18 hours. Woke up and pain was suddenly gone, but pain in my arm at injection site because severe. Had no pain until that happened. Did not seek medical assistance at any time. Pain in my left arm at injection site lasted 3 days. Stomach issues occured appoximately 72 hours after injection and lasted about 4 days. Did not feel better and complete until 8 days had passed.


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