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From the 9/10/2021 release of VAERS data:

This is VAERS ID 1427879



Case Details

VAERS ID: 1427879 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-05-10
Onset:2021-06-04
   Days after vaccination:25
Submitted: 0000-00-00
Entered: 2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Breast tenderness, Ear discomfort, Ear pain, Ear swelling, Erythema, Fatigue, Hypoaesthesia, Lymph node pain, Lymphadenopathy, Menstruation irregular, Nausea, Paraesthesia, Pruritus, Rash, Swelling face, Urticaria
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (narrow), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Fertility disorders (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Thyroid condition but it is under control
Allergies: Penicillin; sulfa; Ketek
Diagnostic Lab Data: Physical exam
CDC Split Type: vsafe

Write-up: New worsening symptoms started on 06-04-2021, I woke up with my ear itching, were painful, felt like my ears were on fire. My ears were swollen also developed redness, rash on my chest. I ordered Benadryl through delivery for what looked like hives to me. On 06-14-2021 I also developed new allergies that I did not have. My face swelled up and went numb, had tingling sensation to my hands. I went to see my PCP who referred me to an allergist doctor. I also had an allergic reaction to a skin care product that I use. I went to HCF to see a doctor who performed a physical exam. The doctor at the HCF felt my breasts which are so tender to touch, the doctor also could feel the swelling of my lymph nodes in my breasts and also my menstrual cycle is 6 days early this month. To this day the swelling in my lymph nodes are still present and painful. I still continue with fatigue, nausea as before but now I feel its more constant. I do not have my lot# to provide.


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