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From the 9/10/2021 release of VAERS data:

This is VAERS ID 1372544



Case Details

VAERS ID: 1372544 (history)  
Form: Version 2.0  
Age: 25.0  
Sex: Female  
Location: California  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 204A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Asthenia, Chills, Dizziness, Fatigue, Headache, Injection site pain, Myalgia, Nausea, Night sweats, Pyrexia, Vision blurred, Vomiting
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Lens disorders (broad), Eosinophilic pneumonia (broad), Retinal disorders (broad), Vestibular disorders (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Lo Loestrin Fe (once daily); Vyvanse 60mg (once daily); Escitalopram 20mg (once daily); Buspirone 15mg (twice daily); One A Day Women''s Vitacraves (once daily); Iron supplement (once daily); Biotin supplement 1,000mcg (once daily); CoQ10 2
Current Illness: Anxiety; ADHD
Preexisting Conditions:
Allergies: Bee stings (Only reaction: swelling at site of sting)
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: All of the following side effects occurred for 36 hours following my vaccination: Extreme fatigue; headache; fever; chills; night sweats; nausea; vomiting; dizziness; blurred vision; weakness; muscle aches throughout entire body; pain at injection site (only experience 24 hours after injection)


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1372544


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