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

This is VAERS ID 1470133



Case Details

VAERS ID: 1470133 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-07-13
Onset:2021-07-13
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Burning sensation, Dysgeusia, Dyspnoea
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Taste and smell disorders (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: albuterol clonazepam, methylphenidate, gabapentin metformin, omeprazole, oxycodone and sertraline
Current Illness: breast cancer
Preexisting Conditions:
Allergies: contrast dye
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient feel burning in left arem bad taste in mouth and trouble breathing


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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1470133


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