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

This is VAERS ID 1378029

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Case Details

VAERS ID: 1378029 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: New York  
Vaccinated:2021-05-10
Onset:2021-05-12
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-06-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / -

Administered by: Private       Purchased by: ?
Symptoms: Dizziness, Dyspnoea, Headache, Heart rate increased, Hypertension, Hypoaesthesia, Magnetic resonance imaging
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Hypertension (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Dehydration (broad), Sexual dysfunction (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: SERVERE REACTIONS TO FLU SHOT
Other Medications: Tylenoyl
Current Illness: no
Preexisting Conditions: No
Allergies: No
Diagnostic Lab Data: Went to the er to get a mri
CDC Split Type: vsafe

Write-up: Started wit a headache numbness in my face difficulties of breathing heart rate was high dizzyniess blood pressure was high numbness on the whole right side of body


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1378029


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