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From the 11/19/2021 release of VAERS data:

This is VAERS ID 1685493

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Case Details

VAERS ID: 1685493 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: Tennessee  
   Days after vaccination:166
Submitted: 0000-00-00
Entered: 2021-09-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805020 / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Body temperature increased, COVID-19, Fatigue, Malaise, Nasal congestion, Oropharyngeal pain, Pain, SARS-CoV-2 test positive
SMQs:, Neuroleptic malignant syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: metoprolol 25mg QD Sertraline 50mg QD Vit D 5000 IU QD Vit C with Zinc 500mg QD Multivitamin QD Super B Complex QD
Current Illness: None
Preexisting Conditions: HTN, Anxiety, Depression
Allergies: IVP contrast dye
Diagnostic Lab Data: Rapid Diagnostic Test for SARS-CoV-2 positive on 8/26/21 @ 1427
CDC Split Type:

Write-up: Was in close contact with my 22 month old who had been exposed to a positive Covid 19 case. I developed symptoms 8/23/21 of aches, malaise, fatigue, nasal congestion, sore throat. Only ran a temp of 101 once. Was taking all my medicines/supplements as listed in beginning of this form. Tested positive 8/26/21. I do feel the vaccine prevented me from getting sicker.

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