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This is VAERS ID 1102080

History of Changes from the VAERS Wayback Machine

First Appeared on 3/19/2021

VAERS ID: 1102080
VAERS Form:2
Age:36.0
Sex:Female
Location:Ohio
Vaccinated:2021-03-04
Onset:2021-03-10
Submitted:0000-00-00
Entered:2021-03-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1802068 / 1 RA / IM

Administered by: Public      Purchased by: ??
Symptoms: Arthralgia, Rash, Skin discolouration, Vasculitis

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)? No
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations: REACTION TO MMR VACCINE
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: SULFA, PCN, ''SEASONAL''
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 3-11-21 C/O RASH TO BOTH LEGS & ABD SINCE 9:30AM. NO SOB OR DYSPNEA. 1:42PM BENADRYL 50MG GIVEN PO. STATES SHE WILL SPEND THE REST OF THE WORK DAY SITTING DOWN AND HUSBAND WILL DRIVE HER HOME. 3-15-21 10:46AM: STATES SHE DID GO TO ER X2, FACILITY ADMITTED HER FOR VASCULITIS X1DAY. ''THOUGHT IT MAY BE A DELAYED VACCINE REACTION.'' RASH ON LEGS, ABD & NOW FOREARMS IS NOW ''PURPLE''. HAD LOTS OF JOINT PAIN ALSO. SHE WAS GIVEN SOLUMEDRAL AND PREDNISONE AND IS FEELING BETTER NOW, WILL RETURN TO WORK TOMORROW.


Changed on 5/7/2021

VAERS ID: 1102080 Before After
VAERS Form:2
Age:36.0
Sex:Female
Location:Ohio
Vaccinated:2021-03-04
Onset:2021-03-10
Submitted:0000-00-00
Entered:2021-03-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1802068 / 1 RA / IM

Administered by: Public      Purchased by: ??
Symptoms: Arthralgia, Rash, Skin discolouration, Vasculitis

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)? No
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations: REACTION TO MMR VACCINE
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: SULFA, PCN, ''SEASONAL'' ''SEASONAL''
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 3-11-21 C/O RASH TO BOTH LEGS & ABD SINCE 9:30AM. NO SOB OR DYSPNEA. 1:42PM BENADRYL 50MG GIVEN PO. STATES SHE WILL SPEND THE REST OF THE WORK DAY SITTING DOWN AND HUSBAND WILL DRIVE HER HOME. 3-15-21 10:46AM: STATES SHE DID GO TO ER X2, FACILITY ADMITTED HER FOR VASCULITIS X1DAY. ''THOUGHT IT MAY BE A DELAYED VACCINE REACTION.'' RASH ON LEGS, ABD & NOW FOREARMS IS NOW ''PURPLE''. HAD LOTS OF JOINT PAIN ALSO. SHE WAS GIVEN SOLUMEDRAL AND PREDNISONE AND IS FEELING BETTER NOW, WILL RETURN TO WORK TOMORROW.


Changed on 5/14/2021

VAERS ID: 1102080 Before After
VAERS Form:2
Age:36.0
Sex:Female
Location:Ohio
Vaccinated:2021-03-04
Onset:2021-03-10
Submitted:0000-00-00
Entered:2021-03-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1802068 / 1 RA / IM

Administered by: Public      Purchased by: ??
Symptoms: Arthralgia, Rash, Skin discolouration, Vasculitis

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)? No
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations: REACTION TO MMR VACCINE
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: SULFA, PCN, ''SEASONAL'' ''SEASONAL''
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 3-11-21 C/O RASH TO BOTH LEGS & ABD SINCE 9:30AM. NO SOB OR DYSPNEA. 1:42PM BENADRYL 50MG GIVEN PO. STATES SHE WILL SPEND THE REST OF THE WORK DAY SITTING DOWN AND HUSBAND WILL DRIVE HER HOME. 3-15-21 10:46AM: STATES SHE DID GO TO ER X2, FACILITY ADMITTED HER FOR VASCULITIS X1DAY. ''THOUGHT IT MAY BE A DELAYED VACCINE REACTION.'' RASH ON LEGS, ABD & NOW FOREARMS IS NOW ''PURPLE''. HAD LOTS OF JOINT PAIN ALSO. SHE WAS GIVEN SOLUMEDRAL AND PREDNISONE AND IS FEELING BETTER NOW, WILL RETURN TO WORK TOMORROW.

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