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

This is VAERS ID 1484987



Case Details

VAERS ID: 1484987 (history)  
Form: Version 2.0  
Age: 66.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-03-01
Onset:2021-07-18
   Days after vaccination:139
Submitted: 0000-00-00
Entered: 2021-07-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK UN / IM

Administered by: Private       Purchased by: ?
Symptoms: COVID-19, Infection, SARS-CoV-2 test positive
SMQs:, Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

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: Fluoxetine 20mg QD
Current Illness: None known
Preexisting Conditions: None known
Allergies: None known
Diagnostic Lab Data: Positive - Now rapid test
CDC Split Type:

Write-up: Breakthrough CoVID infection


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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1484987


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