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

This is VAERS ID 1490959



Case Details

VAERS ID: 1490959 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-07-17
Onset:2021-07-18
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 - / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Injection site reaction, Injection site warmth, Pyrexia, Rash erythematous, Rash papular
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: COVID DIAGNOSIS DECEMBER 2020
CDC Split Type:

Write-up: RASH AT INJECTION SITE WARM TO THE TOUCH, RAISED AND RED, NOT ITCHY. LOW FEVER APPROX 99.3,


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1490959


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