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

This is VAERS ID 1317250



Case Details

VAERS ID: 1317250 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Male  
Location: California  
Vaccinated:2021-05-03
Onset:2021-05-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Rash maculo-papular
SMQs:, 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? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: None
Preexisting Conditions: none
Allergies: NKDA
Diagnostic Lab Data:
CDC Split Type:

Write-up: maculopapular rash on arms, legs and trunk when evaluated on 5/11/21 and 5/14/21 Symptomatic treatment started 5/12/21 with benadryl and hydrocortisone no improvement per patient when seen on 5/14/21, so was started on medrol dose pack and vistaril


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1317250


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