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This is VAERS ID 1085957

History of Changes from the VAERS Wayback Machine

First Appeared on 3/19/2021

VAERS ID: 1085957
VAERS Form:2
Age:19.0
Sex:Female
Location:Tennessee
Vaccinated:2021-03-08
Onset:2021-03-09
Submitted:0000-00-00
Entered:2021-03-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Private      Purchased by: ??
Symptoms: Gait inability, Headache, Oral pain, Pain in extremity

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: actemra
Current Illness: RA arthritis
Preexisting Conditions: RAarthritis, seizures
Allergies: none
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: extend amounts of pain in the head, mouth, legs inability to walk


Changed on 5/7/2021

VAERS ID: 1085957 Before After
VAERS Form:2
Age:19.0
Sex:Female
Location:Tennessee
Vaccinated:2021-03-08
Onset:2021-03-09
Submitted:0000-00-00
Entered:2021-03-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Private      Purchased by: ??
Symptoms: Gait inability, Headache, Oral pain, Pain in extremity

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: actemra
Current Illness: RA arthritis
Preexisting Conditions: RAarthritis, seizures
Allergies: none none
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: extend amounts of pain in the head, mouth, legs inability to walk


Changed on 5/14/2021

VAERS ID: 1085957 Before After
VAERS Form:2
Age:19.0
Sex:Female
Location:Tennessee
Vaccinated:2021-03-08
Onset:2021-03-09
Submitted:0000-00-00
Entered:2021-03-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Private      Purchased by: ??
Symptoms: Gait inability, Headache, Oral pain, Pain in extremity

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: actemra
Current Illness: RA arthritis
Preexisting Conditions: RAarthritis, seizures
Allergies: none none
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: extend amounts of pain in the head, mouth, legs inability to walk

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1085957&WAYBACKHISTORY=ON


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