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From the 9/17/2021 release of VAERS data:

This is VAERS ID 1376462



Case Details

VAERS ID: 1376462 (history)  
Form: Version 2.0  
Age: 25.0  
Sex: Female  
Location: Missouri  
Vaccinated:2021-06-04
Onset:2021-06-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1821288 / 2 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Headache, Nausea
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

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: not listed
Current Illness: none known
Preexisting Conditions: no
Allergies: NKA
Diagnostic Lab Data: none
CDC Split Type:

Write-up: After vaccine was administered, approximately 10 minutes went by, patient complained of a bad headache and nausea


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1376462


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