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

This is VAERS ID 1354346

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Case Details

VAERS ID: 1354346 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: California  
Vaccinated:2021-05-18
Onset:2021-05-20
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-05-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 204A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Deafness unilateral, Dizziness, Hypoaesthesia, Paraesthesia, Tinnitus, Vertigo
SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Hearing impairment (narrow), Vestibular disorders (narrow), Sexual dysfunction (broad)

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

Write-up: Systemic: Dizziness / Lightheadness-Severe, Systemic: Numbness (specify: facial area, extremities)-Medium, Systemic: Tinnitus-Severe, Additional Details: Pt called the pharmacy reporting that she has tingling sensation on the arm that is opposite of the arm that got the injection last week, and then she had extreme vertigo and dizziness which resulted her admitted to the ER. Pt also claims that she cannot hear from one side of the ears few days after the vaccine. Pt was advised to consult with a physician, and was also given the janseen phone number to ask about the side effects.


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