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This is VAERS ID 1078744

History of Changes from the VAERS Wayback Machine

First Appeared on 3/11/2021

VAERS ID: 1078744
VAERS Form:2
Age:32.0
Sex:Female
Location:Minnesota
Vaccinated:2021-03-06
Onset:2021-03-06
Submitted:0000-00-00
Entered:2021-03-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Back pain, Full blood count, Pain, Vomiting, Laboratory test

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: amlodipine, buspirone, citalopram, hydrochlorothiazide, cholecalciferol
Current Illness:
Preexisting Conditions:
Allergies: Bees, CT contrast, egg white
Diagnostic Lab Data: CBC, BMP on 3/7/2021
CDC 'Split Type':

Write-up: body aches, back pain, vomiting


Changed on 5/7/2021

VAERS ID: 1078744 Before After
VAERS Form:2
Age:32.0
Sex:Female
Location:Minnesota
Vaccinated:2021-03-06
Onset:2021-03-06
Submitted:0000-00-00
Entered:2021-03-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Back pain, Full blood count, Pain, Vomiting, Laboratory test

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: amlodipine, buspirone, citalopram, hydrochlorothiazide, cholecalciferol
Current Illness:
Preexisting Conditions:
Allergies: Bees, CT contrast, egg white white
Diagnostic Lab Data: CBC, BMP on 3/7/2021
CDC 'Split Type':

Write-up: body aches, back pain, vomiting


Changed on 5/14/2021

VAERS ID: 1078744 Before After
VAERS Form:2
Age:32.0
Sex:Female
Location:Minnesota
Vaccinated:2021-03-06
Onset:2021-03-06
Submitted:0000-00-00
Entered:2021-03-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Back pain, Full blood count, Pain, Vomiting, Laboratory test

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: amlodipine, buspirone, citalopram, hydrochlorothiazide, cholecalciferol
Current Illness:
Preexisting Conditions:
Allergies: Bees, CT contrast, egg white white
Diagnostic Lab Data: CBC, BMP on 3/7/2021
CDC 'Split Type':

Write-up: body aches, back pain, vomiting

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1078744&WAYBACKHISTORY=ON


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