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From the 4/30/2021 release of VAERS data (an older release, current is 7/16/2021):

This is VAERS ID 1256464



Case Details

VAERS ID: 1256464 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: Maryland  
Vaccinated:2021-04-09
Onset:2021-04-21
   Days after vaccination:12
Submitted: 0000-00-00
Entered: 2021-04-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Postmenopausal haemorrhage
SMQs:, Haemorrhage terms (excl laboratory terms) (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: Prilosec Wellbutrin Prozac Zyrtec Singular Albuterol Lamithrogine
Current Illness: Sinus cold
Preexisting Conditions: Asthma
Allergies: No
Diagnostic Lab Data: NA
CDC Split Type:

Write-up: Post menopausal menstruation


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https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20210430&IDNUMBER=1256464


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