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

This is VAERS ID 1374205

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Case Details

VAERS ID: 1374205 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-05-12
Onset:2021-05-30
   Days after vaccination:18
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 204A2114 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Atypical pneumonia, Back pain, Chest X-ray, Computerised tomogram thorax, Cough, Headache, Urine analysis
SMQs:, Anaphylactic reaction (broad), Retroperitoneal fibrosis (broad), Infective pneumonia (narrow), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: X-ray of the chest CT scan of the chest with contrast
CDC Split Type: vsafe

Write-up: I was okay for the first two weeks I went to the ER on 05-30-2021 due to cough, slight headaches, pain in my back. I came to find out the pain I was experiencing was "walking pneumonia". At the ER x-rays of the chest, CT scan of the chest with contrast , UA were performed. I was given albuterol inhaler and z-pack and Oxycodone for pain. I still have bit of pain to my back and slight headaches that come and go.


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