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

This is VAERS ID 1328553



Case Details

VAERS ID: 1328553 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2021-05-18
Onset:2021-05-18
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Military       Purchased by: ?
Symptoms: Chest pain, Fatigue, Injection site pain, Limb discomfort, Pain in extremity
SMQs:, Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Tendinopathies and ligament disorders (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: Flu shot
Other Medications: One A day women vitamin Hair, skin, nail gummies Caltrate Calcium Zyrtec Tylenol Naproxin Nasal spray Eye drops
Current Illness:
Preexisting Conditions:
Allergies: Cats All herbs (rosemary, oregano ect.) Eggs Seasonal allergies
Diagnostic Lab Data: Checked vitals and told me to call my PCM Pain went away before leaving clinic
CDC Split Type:

Write-up: Pain with injection all the way down my arm into my fingers. Arm felt very heavy. Sharp pain in left chest area Lightheaded Tired


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1328553


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