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

This is VAERS ID 1780465

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Case Details

VAERS ID: 1780465 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: Oregon  
Vaccinated:2021-10-06
Onset:2021-10-09
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-10-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1822809 / UNK LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Dysmenorrhoea, Headache, Heavy menstrual bleeding, Immediate post-injection reaction, Polymenorrhoea, Swollen tongue
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Oropharyngeal allergic conditions (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), 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? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: multivitamin armour thyroid
Current Illness:
Preexisting Conditions: hypothyroid
Allergies: Allergy to PEG, shellfish, mushrooms, mold,
Diagnostic Lab Data: nothing yet- will go and get a Ferritin, cbc, and d- dimer this week.
CDC Split Type:

Write-up: Immediate headache and tongue swollen, headache has continued off and on. Menorrhagia began early Saturday morning and I am going through 10 -12 tampons a day with large clots, heavy bleeding and cramping. My cycle is not supposed to start for another 2 weeks. I keep everything on an app and am still pretty regular.


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