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This is VAERS ID 1376337

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History of Changes from the VAERS Wayback Machine

First Appeared on 6/11/2021

VAERS ID: 1376337
VAERS Form:2
Age:52.0
Sex:Female
Location:Connecticut
Vaccinated:2021-04-06
Onset:2021-04-01
Submitted:0000-00-00
Entered:2021-06-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Neuralgia, Ultrasound scan, X-ray

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: Aspirin, Vicodin, Vioxx
Diagnostic Lab Data: Leg ultrasound - X-ray
CDC 'Split Type':

Write-up: Patient stated approximately 2 day after vaccination maybe up to a week she began to get left leg sensations (nerve pain). She first called an physician 2 to 3 weeks after the vaccination. Her physician told her to go to the E.R.

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