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This is VAERS ID 1087221

History of Changes from the VAERS Wayback Machine

First Appeared on 3/19/2021

VAERS ID: 1087221
VAERS Form:2
Age:37.0
Sex:Female
Location:Alabama
Vaccinated:2021-03-08
Onset:2021-03-09
Submitted:0000-00-00
Entered:2021-03-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Chest pain, Dizziness, Fatigue, Influenza like illness, Rash, Wheezing

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: Dessicated Thyroid 15mg PO Daily; fish oil PO daily; multivitamin PO daily; probiotic PO daily; Vitamin C PO daily
Current Illness: n/a
Preexisting Conditions: hypothyroid; endometriosis
Allergies: Cipro - Hives Doxycycline - N/V Eggs - N/V Gluten sensitivity
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Flu-like symptoms, stabbing chest pain, dizziness, fatigue, rash, and wheezing that developed around 0930 on 3/9.


Changed on 5/7/2021

VAERS ID: 1087221 Before After
VAERS Form:2
Age:37.0
Sex:Female
Location:Alabama
Vaccinated:2021-03-08
Onset:2021-03-09
Submitted:0000-00-00
Entered:2021-03-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Chest pain, Dizziness, Fatigue, Influenza like illness, Rash, Wheezing

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: Dessicated Thyroid 15mg PO Daily; fish oil PO daily; multivitamin PO daily; probiotic PO daily; Vitamin C PO daily
Current Illness: n/a
Preexisting Conditions: hypothyroid; endometriosis
Allergies: Cipro - Hives Doxycycline - N/V Eggs - N/V Gluten sensitivity sensitivity
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Flu-like symptoms, stabbing chest pain, dizziness, fatigue, rash, and wheezing that developed around 0930 on 3/9.


Changed on 5/14/2021

VAERS ID: 1087221 Before After
VAERS Form:2
Age:37.0
Sex:Female
Location:Alabama
Vaccinated:2021-03-08
Onset:2021-03-09
Submitted:0000-00-00
Entered:2021-03-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Chest pain, Dizziness, Fatigue, Influenza like illness, Rash, Wheezing

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: Dessicated Thyroid 15mg PO Daily; fish oil PO daily; multivitamin PO daily; probiotic PO daily; Vitamin C PO daily
Current Illness: n/a
Preexisting Conditions: hypothyroid; endometriosis
Allergies: Cipro - Hives Doxycycline - N/V Eggs - N/V Gluten sensitivity sensitivity
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Flu-like symptoms, stabbing chest pain, dizziness, fatigue, rash, and wheezing that developed around 0930 on 3/9.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1087221&WAYBACKHISTORY=ON


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