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This is VAERS ID 1375971

History of Changes from the VAERS Wayback Machine

First Appeared on 6/11/2021

VAERS ID: 1375971
VAERS Form:2
Age:64.0
Sex:Female
Location:Missouri
Vaccinated:2021-06-01
Onset:2021-06-01
Submitted:0000-00-00
Entered:2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1820095 / 1 LA / SYR

Administered by: Private      Purchased by: ??
Symptoms: Erythema, Hypersensitivity, Peripheral swelling

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: I takeatorvastatin and a multivitamin.
Current Illness: None
Preexisting Conditions: Foot problems
Allergies: None
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: By the evening on the day of the shot I noticed my arm getting red and swollen. It continued swelling until I went to the doctor today June 4th. He said I was having an allergic reaction and to take Benadryl. Started Benadryl at 4:45 this evening.

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