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This is VAERS ID 1464740

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First Appeared on 7/16/2021

VAERS ID: 1464740
VAERS Form:2
Age:38.0
Sex:Female
Location:Iowa
Vaccinated:2021-06-30
Onset:2021-07-07
Submitted:0000-00-00
Entered:2021-07-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 UN / IM

Administered by: Public      Purchased by: ??
Symptoms: Diarrhoea, Fatigue, Guillain-Barre syndrome, Headache, Pyrexia, Rhinorrhoea

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: migraine relief med, 2 allergy pills, inhaler, breathing treatments for preexisting conditions, tylenol occas.
Current Illness: denies any in that time span
Preexisting Conditions: s) if I get sick usually respiratory problems; migraines
Allergies: Benzolyne
Diagnostic Lab Data: none so far
CDC 'Split Type':

Write-up: 1 week after vaccine symptoms began of fever, runny nose, headache, and diarrhea; currently diarrhea persists and runny nose, and worried about Guillian Barre syndrome, very tired. Trying to stay hydrated, went over 20 times (diarrhea today). Saw Dr on 7/9/21 and called for another appt. today and they instructed her to call here. Encouraged her to get in and see Dr again asap for ongoing diarrhea symptom.

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