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

This is VAERS ID 1469942



Case Details

VAERS ID: 1469942 (history)  
Form: Version 2.0  
Age: 25.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-07-12
Onset:2021-07-13
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 204A21A / 1 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Disturbance in attention, Fatigue, Headache, Influenza like illness, Injection site erythema, Injection site inflammation, Injection site pain
SMQs:, Noninfectious encephalopathy/delirium (broad), Extravasation events (injections, infusions and implants) (broad), Depression (excl suicide and self injury) (broad), Hypoglycaemia (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: Birth control Quartette, OTC pain relievers, ibuprofen 600mg, docusate sodium, Claritin, nitrofurantoin mono 100mg
Current Illness: UTI
Preexisting Conditions: Depression, pleurisy
Allergies: Sulfa
Diagnostic Lab Data:
CDC Split Type:

Write-up: Began overnight after injection. Bodily fatigue, flu like symptoms, soreness and pain at injection site, headache, loss of focus, inflammation and red filled circle about 1inch diameter at injection site. Have been taking ibuprofen 600mg as treatment.


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