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

This is VAERS ID 1328243

Case Details

VAERS ID: 1328243 (history)  
Form: Version 2.0  
Age: 19.0  
Sex: Female  
Location: Tennessee  
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808986 / 1 - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood pressure decreased, Feeling hot, Hyperhidrosis, Injection site haemorrhage, Malaise, Visual impairment
SMQs:, Anaphylactic reaction (broad), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Glaucoma (broad), Optic nerve disorders (broad), Lens disorders (broad), Retinal disorders (broad), Hypoglycaemia (broad), Dehydration (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: unknown
Current Illness: unknown
Preexisting Conditions: unknown
Allergies: unknown
Diagnostic Lab Data: blood pressure 108/61 pulse 78 blood pressure 110/77 pulse 68 blood pressure 111/87 pulse 74
CDC Split Type:

Write-up: patient started bleeding at the site of injection. During her wait time initial felt hot and was seeing spots. The patient also was sweating and didn''t feel well. Patients blood pressure did drop. We gave the patient an ice pack and water. Patient refused 911 and refused Benadryl. We took the patients blood pressure and had the patient wait for 30 /40 minutes after the vaccine. the patient felt better

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