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This is VAERS ID 1130088

History of Changes from the VAERS Wayback Machine

First Appeared on 4/1/2021

VAERS ID: 1130088
VAERS Form:2
Age:41.0
Sex:Female
Location:Unknown
Vaccinated:2021-03-23
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: School      Purchased by: ??
Symptoms: Chills, Headache, Pain

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Headache, body aches, chills

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1130088&WAYBACKHISTORY=ON


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