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This is VAERS ID 1091139

History of Changes from the VAERS Wayback Machine

First Appeared on 3/26/2021

VAERS ID: 1091139
VAERS Form:2
Age:29.0
Sex:Female
Location:Iowa
Vaccinated:2021-03-09
Onset:2021-03-09
Submitted:0000-00-00
Entered:2021-03-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805018 / 1 LA / IM

Administered by: Unknown      Purchased by: ??
Symptoms: Headache, Neck pain, Paraesthesia, Pyrexia, Syncope, Injection site swelling, Computerised tomogram head

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: Reclipsen
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: CT scan on head due to head trauma from vasovagal syncope on 3/9/2021 (a few hours after vaccination), but showed no abnormalities.
CDC 'Split Type':

Write-up: Vasovagal syncope a few minutes after vaccination. Fever of 101.8F 24h after vaccination (3/10/2021). Fever is continuing today (3/11/2021), but is lower at 100.4F. Tingling fingers on hand from vaccination arm (left), swelling from vaccination injection site, headache, and neck pain all developed on 3/10/2021. Headache and neck pain could be due to head trauma from vasovagal syncope. Tingling fingers were not observed on 3/11/2021. *I have had vasovagal syncope in the past, but never with vaccines. It always occurs when I see my own blood.


Changed on 5/7/2021

VAERS ID: 1091139 Before After
VAERS Form:2
Age:29.0
Sex:Female
Location:Iowa
Vaccinated:2021-03-09
Onset:2021-03-09
Submitted:0000-00-00
Entered:2021-03-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805018 / 1 LA / IM

Administered by: Unknown      Purchased by: ??
Symptoms: Headache, Neck pain, Paraesthesia, Pyrexia, Syncope, Injection site swelling, Computerised tomogram head

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: Reclipsen
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: CT scan on head due to head trauma from vasovagal syncope on 3/9/2021 (a few hours after vaccination), but showed no abnormalities.
CDC 'Split Type':

Write-up: Vasovagal syncope a few minutes after vaccination. Fever of 101.8F 24h after vaccination (3/10/2021). Fever is continuing today (3/11/2021), but is lower at 100.4F. Tingling fingers on hand from vaccination arm (left), swelling from vaccination injection site, headache, and neck pain all developed on 3/10/2021. Headache and neck pain could be due to head trauma from vasovagal syncope. Tingling fingers were not observed on 3/11/2021. *I have had vasovagal syncope in the past, but never with vaccines. It always occurs when I see my own blood.


Changed on 5/14/2021

VAERS ID: 1091139 Before After
VAERS Form:2
Age:29.0
Sex:Female
Location:Iowa
Vaccinated:2021-03-09
Onset:2021-03-09
Submitted:0000-00-00
Entered:2021-03-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805018 / 1 LA / IM

Administered by: Unknown      Purchased by: ??
Symptoms: Headache, Neck pain, Paraesthesia, Pyrexia, Syncope, Injection site swelling, Computerised tomogram head

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: Reclipsen
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: CT scan on head due to head trauma from vasovagal syncope on 3/9/2021 (a few hours after vaccination), but showed no abnormalities.
CDC 'Split Type':

Write-up: Vasovagal syncope a few minutes after vaccination. Fever of 101.8F 24h after vaccination (3/10/2021). Fever is continuing today (3/11/2021), but is lower at 100.4F. Tingling fingers on hand from vaccination arm (left), swelling from vaccination injection site, headache, and neck pain all developed on 3/10/2021. Headache and neck pain could be due to head trauma from vasovagal syncope. Tingling fingers were not observed on 3/11/2021. *I have had vasovagal syncope in the past, but never with vaccines. It always occurs when I see my own blood.

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