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

This is VAERS ID 1784215

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Case Details

VAERS ID: 1784215 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-10-06
Onset:2021-10-09
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-10-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Tinnitus
SMQs:, Hearing impairment (narrow)

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: lisinopril simvastatin
Current Illness:
Preexisting Conditions:
Allergies: eggs
Diagnostic Lab Data:
CDC Split Type:

Write-up: low sounding buzz in ears


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1784215


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