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This is VAERS ID 1084789

History of Changes from the VAERS Wayback Machine

First Appeared on 3/19/2021

VAERS ID: 1084789
VAERS Form:2
Age:46.0
Sex:Female
Location:New York
Vaccinated:2021-03-07
Onset:2021-03-08
Submitted:0000-00-00
Entered:2021-03-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805022 / 1 - / -

Administered by: Public      Purchased by: ??
Symptoms: Chest X-ray normal, Chills, Condition aggravated, Dehydration, Dizziness, Fatigue, Headache, Nausea, Pain, Paraesthesia, Pyrexia, Urine analysis normal, Blood test, SARS-CoV-2 test negative

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: CYMBALTA, LEVOTHYROXINE, HYDRCHLOROTHIAZIDE, MELOXICAM, VITAMIN D, VITAMIN E
Current Illness: NONE
Preexisting Conditions: 2018 CVT, VAD WITH CEREBRAL STROKES, HYPERTENSION
Allergies: GOLD, COBALT, NICKLE
Diagnostic Lab Data: COVID TEST- NEGATIVE CHEST XRAY - CLEAR BLOODWORK - NORMAL URINE TEST- NORMAL
CDC 'Split Type':

Write-up: FEVER OVER 100, SEVERE HEADACHE, BODY ACHES, CHILLS, RIGORS, SHARP PAINS, CAUSED MY NERVE PAIN FROM THE STROKE TO BE VERY BAD, TINGLING ON MY AFFECTED SIDE, NAUSEA, DIZZINESS, DEHYDRATION, FATIGUE. I WAS GIVEN TYLENOL, IBUPROFEN, ZOFRAN, ATIVAN, AND 2 BAGS OF FLUIDS.


Changed on 5/7/2021

VAERS ID: 1084789 Before After
VAERS Form:2
Age:46.0
Sex:Female
Location:New York
Vaccinated:2021-03-07
Onset:2021-03-08
Submitted:0000-00-00
Entered:2021-03-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805022 / 1 - / -

Administered by: Public      Purchased by: ??
Symptoms: Chest X-ray normal, Chills, Condition aggravated, Dehydration, Dizziness, Fatigue, Headache, Nausea, Pain, Paraesthesia, Pyrexia, Urine analysis normal, Blood test, SARS-CoV-2 test negative

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: CYMBALTA, LEVOTHYROXINE, HYDRCHLOROTHIAZIDE, MELOXICAM, VITAMIN D, VITAMIN E
Current Illness: NONE
Preexisting Conditions: 2018 CVT, VAD WITH CEREBRAL STROKES, HYPERTENSION
Allergies: GOLD, COBALT, NICKLE NICKLE
Diagnostic Lab Data: COVID TEST- NEGATIVE CHEST XRAY - CLEAR BLOODWORK - NORMAL URINE TEST- NORMAL
CDC 'Split Type':

Write-up: FEVER OVER 100, SEVERE HEADACHE, BODY ACHES, CHILLS, RIGORS, SHARP PAINS, CAUSED MY NERVE PAIN FROM THE STROKE TO BE VERY BAD, TINGLING ON MY AFFECTED SIDE, NAUSEA, DIZZINESS, DEHYDRATION, FATIGUE. I WAS GIVEN TYLENOL, IBUPROFEN, ZOFRAN, ATIVAN, AND 2 BAGS OF FLUIDS.


Changed on 5/14/2021

VAERS ID: 1084789 Before After
VAERS Form:2
Age:46.0
Sex:Female
Location:New York
Vaccinated:2021-03-07
Onset:2021-03-08
Submitted:0000-00-00
Entered:2021-03-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805022 / 1 - / -

Administered by: Public      Purchased by: ??
Symptoms: Chest X-ray normal, Chills, Condition aggravated, Dehydration, Dizziness, Fatigue, Headache, Nausea, Pain, Paraesthesia, Pyrexia, Urine analysis normal, Blood test, SARS-CoV-2 test negative

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: CYMBALTA, LEVOTHYROXINE, HYDRCHLOROTHIAZIDE, MELOXICAM, VITAMIN D, VITAMIN E
Current Illness: NONE
Preexisting Conditions: 2018 CVT, VAD WITH CEREBRAL STROKES, HYPERTENSION
Allergies: GOLD, COBALT, NICKLE NICKLE
Diagnostic Lab Data: COVID TEST- NEGATIVE CHEST XRAY - CLEAR BLOODWORK - NORMAL URINE TEST- NORMAL
CDC 'Split Type':

Write-up: FEVER OVER 100, SEVERE HEADACHE, BODY ACHES, CHILLS, RIGORS, SHARP PAINS, CAUSED MY NERVE PAIN FROM THE STROKE TO BE VERY BAD, TINGLING ON MY AFFECTED SIDE, NAUSEA, DIZZINESS, DEHYDRATION, FATIGUE. I WAS GIVEN TYLENOL, IBUPROFEN, ZOFRAN, ATIVAN, AND 2 BAGS OF FLUIDS.

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