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From the 9/3/2021 release of VAERS data:

This is VAERS ID 1372574



Case Details

VAERS ID: 1372574 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: Delaware  
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 207A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Feeling cold, Pain in extremity, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Tendinopathies and ligament disorders (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: wellbutrin; birth control
Current Illness: unknown
Preexisting Conditions: unknown
Allergies: clindamycin
Diagnostic Lab Data:
CDC Split Type:

Write-up: about 5 minutes after receiving, patient experienced tingling in fingers, which changed from one finger to another then also down outer aspect of palm of right hand. Shortly after, legs started feeling cold sensation in them and then started feeling "achey " in legs; called physician, who recommended patient wait longer than typical wait period, which patient did...waited one hour after shot. assisted her to standing and walked to vehicle. followed up with a phone call to her twice through out day and patient was ok.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1372574


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