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This is VAERS ID 1089171

History of Changes from the VAERS Wayback Machine

First Appeared on 3/26/2021

VAERS ID: 1089171
VAERS Form:2
Age:34.0
Sex:Female
Location:Virginia
Vaccinated:2021-03-06
Onset:2021-03-07
Submitted:0000-00-00
Entered:2021-03-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805029 / 1 RA / SYR

Administered by: Private      Purchased by: ??
Symptoms: Burning sensation, Cellulitis, Chills, Lethargy, Pain, Pyrexia, Skin warm, Nodule, Oral herpes

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: Amoxicillin, Ampicillian, Penicillin, Ceclor
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Developed Fever of 105 at 12:30 am - fever finally to 99.7 at 4:00am; chills, body aches, severe lethargy. Sunday 3/7/2021 devleoped knot on arm that has sever burning sensation, hot to touch. Monday 3/8/2021 a fever blister developed on mouth; Tuesday 3/9/2021 - knot still there- Urgent Care visit diagnosed cellulitis - dr stated a puss pocket could be seen under skin and knot on arm size of two quarters.


Changed on 5/7/2021

VAERS ID: 1089171 Before After
VAERS Form:2
Age:34.0
Sex:Female
Location:Virginia
Vaccinated:2021-03-06
Onset:2021-03-07
Submitted:0000-00-00
Entered:2021-03-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805029 / 1 RA / SYR

Administered by: Private      Purchased by: ??
Symptoms: Burning sensation, Cellulitis, Chills, Lethargy, Pain, Pyrexia, Skin warm, Nodule, Oral herpes

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: Amoxicillin, Ampicillian, Penicillin, Ceclor Ceclor
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Developed Fever of 105 at 12:30 am - fever finally to 99.7 at 4:00am; chills, body aches, severe lethargy. Sunday 3/7/2021 devleoped knot on arm that has sever burning sensation, hot to touch. Monday 3/8/2021 a fever blister developed on mouth; Tuesday 3/9/2021 - knot still there- Urgent Care visit diagnosed cellulitis - dr stated a puss pocket could be seen under skin and knot on arm size of two quarters.


Changed on 5/14/2021

VAERS ID: 1089171 Before After
VAERS Form:2
Age:34.0
Sex:Female
Location:Virginia
Vaccinated:2021-03-06
Onset:2021-03-07
Submitted:0000-00-00
Entered:2021-03-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805029 / 1 RA / SYR

Administered by: Private      Purchased by: ??
Symptoms: Burning sensation, Cellulitis, Chills, Lethargy, Pain, Pyrexia, Skin warm, Nodule, Oral herpes

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: Amoxicillin, Ampicillian, Penicillin, Ceclor Ceclor
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Developed Fever of 105 at 12:30 am - fever finally to 99.7 at 4:00am; chills, body aches, severe lethargy. Sunday 3/7/2021 devleoped knot on arm that has sever burning sensation, hot to touch. Monday 3/8/2021 a fever blister developed on mouth; Tuesday 3/9/2021 - knot still there- Urgent Care visit diagnosed cellulitis - dr stated a puss pocket could be seen under skin and knot on arm size of two quarters.

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1089171&WAYBACKHISTORY=ON


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