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This is VAERS ID 1086316

History of Changes from the VAERS Wayback Machine

First Appeared on 3/19/2021

VAERS ID: 1086316
VAERS Form:2
Age:62.0
Sex:Female
Location:Pennsylvania
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 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Hypoaesthesia, Paraesthesia

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: Patient stated she previously had a reaction to shingles vaccine received. Also when she got infusions of antibiotics in the hos
Other Medications: NONE REPORTED
Current Illness: NONE REPORTED
Preexisting Conditions: MIGRAINES, ALLERGIES
Allergies: PENICILLIN, VANCOMYCIN, ROCEPHIN
Diagnostic Lab Data: Patient reported to the ER later in the day
CDC 'Split Type':

Write-up: Patient stated after about 15 minutes after receiving vaccine that her face felt numb, she said it feels like it spread from her arm where the shot was given up into her neck and into her face which was numb and tingly


Changed on 5/7/2021

VAERS ID: 1086316 Before After
VAERS Form:2
Age:62.0
Sex:Female
Location:Pennsylvania
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 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Hypoaesthesia, Paraesthesia

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: Patient stated she previously had a reaction to shingles vaccine received. Also when she got infusions of antibiotics in the hos
Other Medications: NONE REPORTED
Current Illness: NONE REPORTED
Preexisting Conditions: MIGRAINES, ALLERGIES
Allergies: PENICILLIN, VANCOMYCIN, ROCEPHIN ROCEPHIN
Diagnostic Lab Data: Patient reported to the ER later in the day
CDC 'Split Type':

Write-up: Patient stated after about 15 minutes after receiving vaccine that her face felt numb, she said it feels like it spread from her arm where the shot was given up into her neck and into her face which was numb and tingly


Changed on 5/14/2021

VAERS ID: 1086316 Before After
VAERS Form:2
Age:62.0
Sex:Female
Location:Pennsylvania
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 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Hypoaesthesia, Paraesthesia

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: Patient stated she previously had a reaction to shingles vaccine received. Also when she got infusions of antibiotics in the hos
Other Medications: NONE REPORTED
Current Illness: NONE REPORTED
Preexisting Conditions: MIGRAINES, ALLERGIES
Allergies: PENICILLIN, VANCOMYCIN, ROCEPHIN ROCEPHIN
Diagnostic Lab Data: Patient reported to the ER later in the day
CDC 'Split Type':

Write-up: Patient stated after about 15 minutes after receiving vaccine that her face felt numb, she said it feels like it spread from her arm where the shot was given up into her neck and into her face which was numb and tingly

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1086316&WAYBACKHISTORY=ON


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