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

This is VAERS ID 1327978



Case Details

VAERS ID: 1327978 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-04-01
Onset:2021-05-18
   Days after vaccination:47
Submitted: 0000-00-00
Entered: 2021-05-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808978 / UNK LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Condition aggravated, Gait inability, Headache, Impaired driving ability, Nausea, Pain, Rheumatoid arthritis
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Dystonia (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Arthritis (narrow), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: lantus insulin, humalog insulin, xanax, fluoxetine, warfarin, proair albuterol inhaler, daily vitamin
Current Illness:
Preexisting Conditions: rheumatoid arthritis, type 2 diabetes, asthma, clotting disorder
Allergies: cherries, peaches, hazelnuts, cipro,cefuroxime axetil, azithromax, liraglutide, famotidine, metformin, sulfa, penicillins, enoxaparin, yellow food dye, heparin, quino;ones, macrolide, propalyne glycol
Diagnostic Lab Data: telehealth visit with primary doctor because I was too sick to drive 05/17/21
CDC Split Type:

Write-up: "Normal" reaction of headache, body aches and nausea for 2-3 days. But, I believe that the vaccination cause the worst flair I have ever had with my rheumatoid arthritis. I was unable to walk or get up from a seated position on my own. The pain is now being treated with a prednisone taper for 12 days.


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