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

This is VAERS ID 1354850

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Case Details

VAERS ID: 1354850 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-04-26
Onset:2021-05-27
   Days after vaccination:31
Submitted: 0000-00-00
Entered: 2021-05-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1820095 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Eye pain, Fatigue, Feeling cold, Headache, Pain, Piloerection, Tremor
SMQs:, Neuroleptic malignant syndrome (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Glaucoma (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: At 6 pm I started having some goosebumps, at 9:00pm I felt cold, I was shaking a lot. At 3am the shaking started again. At 7:00am I had headache, pain on my eyes and a lot of body pain. Felt so tired and painful


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