National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 1085666

History of Changes from the VAERS Wayback Machine

First Appeared on 3/19/2021

VAERS ID: 1085666
VAERS Form:2
Age:23.0
Sex:Female
Location:Indiana
Vaccinated:2021-03-06
Onset:2021-03-07
Submitted:0000-00-00
Entered:2021-03-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1802068 / 1 LA / SYR

Administered by: Public      Purchased by: ??
Symptoms: Arthralgia, Chills, Dysphagia, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Vitamin C Vitamin D3 melatonin trazodone Ritalin Zoloft birth control Allegra nasacort
Current Illness: None
Preexisting Conditions: Scoliosis Insomnia ADD Anxiety Depression
Allergies: Levoquin
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Difficulty swallowing, severe chills, high fever, and severe joint pain appeared 6 hours after the injection. Was treated with Benadryl, Tylenol, and ibuprofen.


Changed on 5/7/2021

VAERS ID: 1085666 Before After
VAERS Form:2
Age:23.0
Sex:Female
Location:Indiana
Vaccinated:2021-03-06
Onset:2021-03-07
Submitted:0000-00-00
Entered:2021-03-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1802068 / 1 LA / SYR

Administered by: Public      Purchased by: ??
Symptoms: Arthralgia, Chills, Dysphagia, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Vitamin C Vitamin D3 melatonin trazodone Ritalin Zoloft birth control Allegra nasacort
Current Illness: None
Preexisting Conditions: Scoliosis Insomnia ADD Anxiety Depression
Allergies: Levoquin Levoquin
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Difficulty swallowing, severe chills, high fever, and severe joint pain appeared 6 hours after the injection. Was treated with Benadryl, Tylenol, and ibuprofen.


Changed on 5/14/2021

VAERS ID: 1085666 Before After
VAERS Form:2
Age:23.0
Sex:Female
Location:Indiana
Vaccinated:2021-03-06
Onset:2021-03-07
Submitted:0000-00-00
Entered:2021-03-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1802068 / 1 LA / SYR

Administered by: Public      Purchased by: ??
Symptoms: Arthralgia, Chills, Dysphagia, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Vitamin C Vitamin D3 melatonin trazodone Ritalin Zoloft birth control Allegra nasacort
Current Illness: None
Preexisting Conditions: Scoliosis Insomnia ADD Anxiety Depression
Allergies: Levoquin Levoquin
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Difficulty swallowing, severe chills, high fever, and severe joint pain appeared 6 hours after the injection. Was treated with Benadryl, Tylenol, and ibuprofen.

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1085666&WAYBACKHISTORY=ON


Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166