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From the 11/26/2021 release of VAERS data:

This is VAERS ID 1693624

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Case Details

VAERS ID: 1693624 (history)  
Form: Version 2.0  
Age: 25.0  
Sex: Female  
Location: New York  
Vaccinated:2021-09-12
Onset:2021-09-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Hypoaesthesia, Hypoaesthesia oral
SMQs:, Peripheral neuropathy (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: birth control, multi-vitamin, caffeine earlier in the day
Current Illness: unknown
Preexisting Conditions: unknown
Allergies: No
Diagnostic Lab Data: none
CDC Split Type:

Write-up: About halfway through the patient''s 15-minute waiting period after receiving the Janssen vaccine, she let me know that she felt a numbing feeling in her upper shoulder on the side she received the shot. She said it feels like when you get novocaine at the dentist''s and it starts wearing off. She said it traveled up to the same side of her face/jaw and the side of her mouth. She could move her arm fine and raise it above her head. No signs of drooping in the face when asked to smile. No other symptoms such as trouble breathing or swallowing, dizziness, or pain. When she touched herself in the numbing areas, she could still feel the touch. I called 911 to be safe. While talking to the dispatcher, she said she thinks it''s not as bad in her face but now thinks she feels it in her legs. While still on the phone, PD arrived. Shortly paramedics came and said her vitals were fine and evaluated her for signs of anaphylaxis. Since she had no immediate symptoms, the patient decided to go home instead of in the ambulance to the hospital. Her friend was with her who drove them. She was instructed to call 911 or go to the ER if symptoms worsened or new symptoms began


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