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

This is VAERS ID 1354236

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Case Details

VAERS ID: 1354236 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808982 / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Laboratory test, Pain in extremity, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamin D, Calcium
Current Illness: None
Preexisting Conditions:
Allergies: sulfa drugs
Diagnostic Lab Data: Multiple blood tests run from hospital and following post discussion with doctor where she decided more blood tests for inflammation need to be run, approx April 17 & May 8th. Have not heard back from Dr. from the results yet.
CDC Split Type:

Write-up: Ran a fever for about 1 week. Had extreme pain in left leg beginning the day after vaccine. Visited emergency room 1 week later based on guidance from physician but little was done- they seemed unsure of what to do. They ran blood tests but since I had no swelling, they assumed no blood clots and did no more testing. Released after about 3 to 4 hours. Pain continued so contacted my doctor a 2nd time. She indicated other patients were reporting the same and suggested continuing aspirin or tylenol. After about 4 weeks pain resolved.


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