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

This is VAERS ID 1381727

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Case Details

VAERS ID: 1381727 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Female  
Location: New York  
Vaccinated:2021-05-20
Onset:2021-05-31
   Days after vaccination:11
Submitted: 0000-00-00
Entered: 2021-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808986 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Headache, Magnetic resonance imaging, Venogram
SMQs:

Life Threatening? Yes
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: Sumatriptan, Excedrin Migraine
Current Illness: None
Preexisting Conditions: Migraines
Allergies: None
Diagnostic Lab Data: MRI and MRA Venogram
CDC Split Type:

Write-up: Severe headache for 1 week. Took OTC medications and Prescription medications with no effect


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