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This is VAERS ID 1097987

History of Changes from the VAERS Wayback Machine

First Appeared on 3/26/2021

VAERS ID: 1097987
VAERS Form:2
Age:56.0
Sex:Female
Location:Indiana
Vaccinated:2021-03-13
Onset:2021-03-13
Submitted:0000-00-00
Entered:2021-03-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1802068 / 1 RA / SYR

Administered by: Private      Purchased by: ??
Symptoms: Full blood count, Petechiae

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: Wellbutrin Synthyroid Calcium Multivitamin Aspirin Buspar/xanax
Current Illness:
Preexisting Conditions: Hypothyroid Depression/anxiety
Allergies:
Diagnostic Lab Data: Cbc
CDC 'Split Type':

Write-up: Petechiae/


Changed on 5/7/2021

VAERS ID: 1097987 Before After
VAERS Form:2
Age:56.0
Sex:Female
Location:Indiana
Vaccinated:2021-03-13
Onset:2021-03-13
Submitted:0000-00-00
Entered:2021-03-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1802068 / 1 RA / SYR

Administered by: Private      Purchased by: ??
Symptoms: Full blood count, Petechiae

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: Wellbutrin Synthyroid Calcium Multivitamin Aspirin Buspar/xanax
Current Illness:
Preexisting Conditions: Hypothyroid Depression/anxiety
Allergies:
Diagnostic Lab Data: Cbc
CDC 'Split Type':

Write-up: Petechiae/


Changed on 5/14/2021

VAERS ID: 1097987 Before After
VAERS Form:2
Age:56.0
Sex:Female
Location:Indiana
Vaccinated:2021-03-13
Onset:2021-03-13
Submitted:0000-00-00
Entered:2021-03-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1802068 / 1 RA / SYR

Administered by: Private      Purchased by: ??
Symptoms: Full blood count, Petechiae

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: Wellbutrin Synthyroid Calcium Multivitamin Aspirin Buspar/xanax
Current Illness:
Preexisting Conditions: Hypothyroid Depression/anxiety
Allergies:
Diagnostic Lab Data: Cbc
CDC 'Split Type':

Write-up: Petechiae/

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1097987&WAYBACKHISTORY=ON


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