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From the 11/26/2021 release of VAERS data:

This is VAERS ID 1350744

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Case Details

VAERS ID: 1350744 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: New York  
Vaccinated:2021-04-12
Onset:2021-04-16
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-05-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / N/A AR / SYR

Administered by: Other       Purchased by: ?
Symptoms: Asthenia, Computerised tomogram, Feeling abnormal, Gait disturbance, Headache, Nausea
SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Dementia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: High blood pressure medication
Current Illness: No
Preexisting Conditions: No
Allergies: No
Diagnostic Lab Data: CT scan
CDC Split Type: vsafe

Write-up: I woke up feeling nauseous with a throbbing headache that would not go away. I also had brain fog, if I was walking I would lose my step. I reached out to my primary care physician, Dr. and was advised to visit the ER if I didn''t feel any better in a few days. Two days later, I went to the Hospital ER in. I feel better but my energy levels are still low.


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