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This is VAERS ID 1421345

History of Changes from the VAERS Wayback Machine

First Appeared on 6/25/2021

VAERS ID: 1421345
VAERS Form:2
Age:40.0
Sex:Female
Location:California
Vaccinated:2021-06-18
Onset:2021-06-20
Submitted:0000-00-00
Entered:2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / 1 LA / SYR

Administered by: Pharmacy      Purchased by: ??
Symptoms: Ageusia, Glossodynia, Swollen tongue, Tongue discolouration, Enlarged uvula, Oropharyngeal pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Bupropion 200mg 2x/day Aripiprazole 15mg 1x/day Lamotrigine 150mg 2x/day Vyvanse 40mg 1x/day Hydrocodone 5/325 1x/day Quetiapine 200mg 1x/day
Current Illness: None
Preexisting Conditions: Bipolar II Bulimia Nerve damage
Allergies: Spinach Shellfish Latex
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Sore throat Swollen uvula Swollen tongue Painful painful tongue Splotchy tongue Loss of taste

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1421345&WAYBACKHISTORY=ON


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