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This is VAERS ID 1367946

History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1367946
VAERS Form:2
Age:62.0
Sex:Female
Location:Maryland
Vaccinated:2021-06-01
Onset:2021-06-02
Submitted:0000-00-00
Entered:2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 204AA21A / 1 RA / IM

Administered by: Unknown      Purchased by: ??
Symptoms: Swelling

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Dorozolamide eye drops for glaucoma
Current Illness: n/a
Preexisting Conditions: glaucoma & over weight
Allergies: shell fish , sulphur drugs & dust , pollen etc
Diagnostic Lab Data: have not went to doctors yet just discovered
CDC 'Split Type':

Write-up: Noticing a small lump under skin on right collar bone by feeling or touch

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1367946&WAYBACKHISTORY=ON

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