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

This is VAERS ID 1381677

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Case Details

VAERS ID: 1381677 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Female  
Location: Oklahoma  
Vaccinated:2021-06-08
Onset:2021-06-08
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 18211288 / 1 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Malaise
SMQs:

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:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: 5 minutes after shot was given and patient sat down to be monitored patient complained of not feeling well. Called 911 and ambulance was sent. Patient went with them to the hospital. Patient never loss concious or needed extra care. Monitored and gave water (all she wanted).


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1381677


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