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From the 9/3/2021 release of VAERS data:

This is VAERS ID 1474420



Case Details

VAERS ID: 1474420 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: Oklahoma  
Vaccinated:2021-07-02
Onset:2021-07-02
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Interchange of vaccine products, No adverse event
SMQs:, Medication errors (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: No
Current Illness: No
Preexisting Conditions: Rheumatoid Arthritis
Allergies: adalimumab, dulaglutide, empaglifozin, hydrochlorothiazide
Diagnostic Lab Data: No
CDC Split Type:

Write-up: Client had received 2 doses of Pfizer. Client is on immunosuppresive therapy. Privary Care physiciaian recommened getting a dose of a different type of Covid-19 vaccination, recommended Janssen. client was over the 28 days recommended between types of vaccines for Covid. No adverse reactions occured at either the time of vaccination or after vaccination


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