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

This is VAERS ID 1437272



Case Details

VAERS ID: 1437272 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Female  
Location: Connecticut  
Vaccinated:2021-06-29
Onset:2021-06-29
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 RA / -

Administered by: Other       Purchased by: ?
Symptoms: Pruritus, Rash, Swelling face
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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: Flu shot 10 years or more ago
Other Medications: none
Current Illness: none
Preexisting Conditions: Thyroid condition
Allergies: none
Diagnostic Lab Data: none
CDC Split Type:

Write-up: Itchy hands, itching all over, broke out in rash, swollen face


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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1437272


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