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From the 11/19/2021 release of VAERS data:

This is VAERS ID 1378313

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Case Details

VAERS ID: 1378313 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-05-25
Onset:2021-05-25
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Chills, Fatigue, Headache, Hot flush, Immediate post-injection reaction, Impaired work ability, Injection site cellulitis, Injection site erythema, Injection site induration, Injection site warmth, Neck pain, Pain in extremity
SMQs:, Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Blisovi Cymbalta Vitamin D
Current Illness: N/A
Preexisting Conditions: Scoliosis Depression Anxiety
Allergies: N/A
Diagnostic Lab Data:
CDC Split Type:

Write-up: Immediate reaction, redness on arm, hot to the touch, hard area at site of vaccination; began 5/25/21 5/26 and 5/27 had to take time off work due to fatigue, hot flashes, arm soreness, neck soreness, chills. Symptoms continued and I was seen at Urgent Care on 5/29 where they prescribed an antibiotic and steroid due to cellulitis at the site. 5/30 I began having headaches which have continued non-stop. Hot flashes, chills, and neck soreness have gone away. Fatigue, cellulitis at the site, and arm soreness have continued. I''ve had symptoms for 13 days. I saw my nurse practitioner due to headaches on 6/2 and was told to use heat and tylenol for headaches.


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