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This is VAERS ID 1775386

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/15/2021

VAERS ID: 1775386
VAERS Form:2
Age:60.0
Sex:Female
Location:Alaska
Vaccinated:2021-03-09
Onset:2021-10-09
Submitted:0000-00-00
Entered:2021-10-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK LA / SYR

Administered by: Other      Purchased by: ??
Symptoms: Acne, Lipoma, Contusion, Vaccination site erythema, Vaccination site reaction, Induration, Vaccination site pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Losartan,met Forman,clonidine,glipizide
Current Illness: Uti
Preexisting Conditions: Diabetes, hypertension,
Allergies: Zyban,
Diagnostic Lab Data: Nothing happened today. Just the soreness upon touching
CDC 'Split Type':

Write-up: No issues at the time. But now 7 months later soreness with pencil eraser sized red broken pinmpilish looking skin at vacinesite. Unread area has movable sore lipoma feeling that can be pushed around, feels bruised, but only red at the pencil sized pimplish area. Under the skin of harder lump is about an 6 inch area circumference

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