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From the 9/17/2021 release of VAERS data:

This is VAERS ID 1371912



Case Details

VAERS ID: 1371912 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-05-20
Onset:2021-06-01
   Days after vaccination:12
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805031 / N/A LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dizziness, Dry mouth, Injection site pain, Thirst
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Extravasation events (injections, infusions and implants) (broad), Vestibular disorders (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: Fibromyalgia, arthritis
Allergies: Penicillin
Diagnostic Lab Data:
CDC Split Type:

Write-up: Arm was sore for several days at injection site, had severely dry mouth for 4-5 days, continuously thirsty. For 2 days, starting 6/1/21-6/3/21 woke up & room was spinning, dizzy spells. No treatment, for dizzy spells had to just close my eyes & wait at least 45 min for it to go away.


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