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From the 9/17/2021 release of VAERS data:

This is VAERS ID 1484586



Case Details

VAERS ID: 1484586 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: Colorado  
Vaccinated:2021-07-18
Onset:2021-07-18
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / 1 LA / -

Administered by: Public       Purchased by: ?
Symptoms: Asthenia, Influenza, Pneumonitis, Respiratory tract irritation
SMQs:, Interstitial lung disease (narrow), Guillain-Barre syndrome (broad), Eosinophilic pneumonia (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (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: Caffeine (coffee addiction) and theobromine to regulate hormones (Fine balance of diet is needed -- slight changes in caffeine intake affect hormones and headaches/cardiovascular reactions.
Current Illness:
Preexisting Conditions: Undiagnosed (all listed): (Emergent protocol in play: 105 -- unable to seek diagnosis) Emphysema (mild or moderate/depending on diet and time of day; fluctuating) Arthritis Multiple Sclerosis (not on record; CT scan sole evidence/indicative Lupus probable. Rare flu events, only mild/resolving after one week -- undiagnosed lupus probable (May have COVID19/asymptomatic)
Allergies: fluxuating allergies. Consistent allergy to "crimson lake" red food dye (made from cochneal bug shells)
Diagnostic Lab Data: none possible (except via "new patient record") Protocol 102.
CDC Split Type: do not report ''antero''/re

Write-up: typical flu (moderate weakness) inflammation of lungs/irritation (suspect COVID19 infection already present prior to vaccination date//contact via email)


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