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

This is VAERS ID 1342376



Case Details

VAERS ID: 1342376 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Male  
Location: Nevada  
Vaccinated:2021-05-01
Onset:2021-05-02
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Disturbance in attention, Fatigue, Feeling abnormal, Injection site pain, Neck pain, Pain, Pain in extremity
SMQs:, Dementia (broad), Noninfectious encephalopathy/delirium (broad), Extravasation events (injections, infusions and implants) (broad), Depression (excl suicide and self injury) (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Prescription medications: Amlodipine Besylate, Cymbalta, Allopurinol, Finasteride. Nutritional Supplements: Zinc, Vitamin D, NACS, Alpha Lipoic Acid, Larch Tree Arabinogalactan.
Current Illness: Trigeminal Neuralgia (since 2009)
Preexisting Conditions: Trigeminal Neuralgia (since 2009) Congenital Cervical and Spinal Stenosis
Allergies: Dark chocolate, onions, iodine, sporins.
Diagnostic Lab Data: NA
CDC Split Type:

Write-up: Pain in the vaccination area began about 18 hours after injection. It has not abated in 3 weeks. General body aches - mostly in feet and in upper right arm, shoulder, and neck area (C1-down to mid-shoulder), fogginess of thought, and overall tiredness and lack of sharpness since about 2-3 days post injection.


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