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This is VAERS ID 1474999

History of Changes from the VAERS Wayback Machine

First Appeared on 7/16/2021

VAERS ID: 1474999
VAERS Form:2
Age:60.0
Sex:Female
Location:Tennessee
Vaccinated:2021-07-01
Onset:2021-07-01
Submitted:0000-00-00
Entered:2021-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 RA / SYR

Administered by: Pharmacy      Purchased by: ??
Symptoms: Arthralgia, X-ray limb, Shoulder injury related to vaccine administration

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: Trazodone, Pantoprazole, Lisinopril, Montelukast, Metoprolol ER, and Methimazole
Current Illness: No known illnesses
Preexisting Conditions: No known health conditions
Allergies: No known allergies
Diagnostic Lab Data: The patient received an x-ray on 7/15/21, which the results are unknown as of now.
CDC 'Split Type':

Write-up: The patient was given the Janssen Covid vaccine on 7/1/21 and she called in on 7/15/21 to report her adverse event. She said she had been having awful shoulder pain ever since receiving the vaccine and it continued to get worse. She went to see her Doctor on 7/15/21 and received and x-ray and prescriptions for oral steroids and an NSAID gel. She said her Doctor diagnosed her with a vaccine related shoulder injury. The results of the x-ray are unknown as of now and the medication was just started today. I told her I would be filling out reports on the incident and that I would check back with her in a few days to see if the medication was helping.

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