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This is VAERS ID 1323953

History of Changes from the VAERS Wayback Machine

First Appeared on 5/21/2021

VAERS ID: 1323953
VAERS Form:2
Age:52.0
Sex:Female
Location:Texas
Vaccinated:2021-05-03
Onset:2021-05-04
Submitted:0000-00-00
Entered:2021-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Skin warm, Tenderness, Peripheral swelling

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient called 5/17- 2 weeks post vaccine stating arm is still tender, swollen, and warm to the touch. Patient states it is not red

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1323953&WAYBACKHISTORY=ON


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