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

This is VAERS ID 1443617



Case Details

VAERS ID: 1443617 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-05-10
Onset:2021-06-01
   Days after vaccination:22
Submitted: 0000-00-00
Entered: 2021-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 RA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Alopecia, Thyroid function test normal, Vitamin D
SMQs:

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: Vitamins
Current Illness: N/A
Preexisting Conditions:
Allergies: Sulpha
Diagnostic Lab Data: Checked thyroid and vitamin D levels. Both were normal.
CDC Split Type:

Write-up: My hair started falling out. As much as you might see with a chemo patient. I went to the doctor and she ran labs and found nothing and has referred me to dermatology. She doesn''t think it''s vaccine-related, but I was told to report it anyway, just in case. I can''t get in to see the dermatologist until August.


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