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This is VAERS ID 1085836

History of Changes from the VAERS Wayback Machine

First Appeared on 3/19/2021

VAERS ID: 1085836
VAERS Form:2
Age:56.0
Sex:Female
Location:South Dakota
Vaccinated:2021-03-09
Onset:2021-03-09
Submitted:0000-00-00
Entered:2021-03-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805020 / 1 - / IM

Administered by: Private      Purchased by: ??
Symptoms: Hypoaesthesia

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Pt did walk over to our Emergency Department to be evaluated.
CDC 'Split Type':

Write-up: Patient''s entire Left Arm became numb shortly after receiving her vaccination


Changed on 5/7/2021

VAERS ID: 1085836 Before After
VAERS Form:2
Age:56.0
Sex:Female
Location:South Dakota
Vaccinated:2021-03-09
Onset:2021-03-09
Submitted:0000-00-00
Entered:2021-03-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805020 / 1 - / IM

Administered by: Private      Purchased by: ??
Symptoms: Hypoaesthesia

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Pt did walk over to our Emergency Department to be evaluated.
CDC 'Split Type':

Write-up: Patient''s entire Left Arm became numb shortly after receiving her vaccination


Changed on 5/14/2021

VAERS ID: 1085836 Before After
VAERS Form:2
Age:56.0
Sex:Female
Location:South Dakota
Vaccinated:2021-03-09
Onset:2021-03-09
Submitted:0000-00-00
Entered:2021-03-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805020 / 1 - / IM

Administered by: Private      Purchased by: ??
Symptoms: Hypoaesthesia

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Pt did walk over to our Emergency Department to be evaluated.
CDC 'Split Type':

Write-up: Patient''s entire Left Arm became numb shortly after receiving her vaccination

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1085836&WAYBACKHISTORY=ON


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