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This is VAERS ID 1128528

History of Changes from the VAERS Wayback Machine

First Appeared on 4/1/2021

VAERS ID: 1128528
VAERS Form:2
Age:21.0
Sex:Female
Location:New Hampshire
Vaccinated:2021-03-21
Onset:2021-03-24
Submitted:0000-00-00
Entered:2021-03-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

Administered by: Unknown      Purchased by: ??
Symptoms: Pruritus, Rash, Rash erythematous, Rash macular, Illness

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? No
Previous Vaccinations:
Other Medications: Lexapro 20 mg Fish Oil Supplements GABA Supplements Turmeric Supplements
Current Illness: None
Preexisting Conditions: Asthma
Allergies: None
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: I was very sick which is normal but I woke up this morning, 3/24/2021, and have a red splotchy rash on my neck and forearm. My forearm is very itchy.


Changed on 5/7/2021

VAERS ID: 1128528 Before After
VAERS Form:2
Age:21.0
Sex:Female
Location:New Hampshire
Vaccinated:2021-03-21
Onset:2021-03-24
Submitted:0000-00-00
Entered:2021-03-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

Administered by: Unknown      Purchased by: ??
Symptoms: Pruritus, Rash, Rash erythematous, Rash macular, Illness

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? No
Previous Vaccinations:
Other Medications: Lexapro 20 mg Fish Oil Supplements GABA Supplements Turmeric Supplements
Current Illness: None
Preexisting Conditions: Asthma
Allergies: None None
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: I was very sick which is normal but I woke up this morning, 3/24/2021, and have a red splotchy rash on my neck and forearm. My forearm is very itchy.

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1128528&WAYBACKHISTORY=ON


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