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From the 9/3/2021 release of VAERS data:

This is VAERS ID 1429578



Case Details

VAERS ID: 1429578 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: New Mexico  
Vaccinated:2021-06-21
Onset:2021-06-21
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1821288 / N/A LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Limb discomfort, Swelling, Throat irritation
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Haemodynamic oedema, effusions and fluid overload (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Montelukast, Symbicort, albuterol, fexofenadine, topiramate
Current Illness: None
Preexisting Conditions: Asthma, allergies
Allergies: Methylprednisone, dexamethasone, cetirizine, diphehydramine, sulfates, triamcinolone, neosporin, latex, isothiazolinones, aimovig, hibiclens, ibuprofen
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Itchy throat within 4 hours of administration, initially small pea-sized reaction which has continued to grow to the size of an orange and still continues to grow larger each day. The swelling protrudes by 1 cm and causes pressure to radiate towards my fingers.


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