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From the 9/17/2021 release of VAERS data:

This is VAERS ID 1444740



Case Details

VAERS ID: 1444740 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Male  
Location: Foreign  
Vaccinated:2021-07-01
Onset:2021-07-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Rash, Urticaria
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:
Other Medications: Enzimatik (multienzymes) and Hyosymol (paracetamol and hyoscine) Both due to a gas accumulation issue
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: I haven''t been to the doctor yet.
CDC Split Type: PID - 03543689

Write-up: Hives or rash on two points: Tummy at the level of the liver and on the climb in the lower part of the right lung. Permanent thickness.


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