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This is VAERS ID 1130546

History of Changes from the VAERS Wayback Machine

First Appeared on 4/1/2021

VAERS ID: 1130546
VAERS Form:2
Age:40.0
Sex:Male
Location:Puerto Rico
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 1808609 / 1 LA / IM

Administered by: Public      Purchased by: ??
Symptoms: Eye swelling, Pain, Pain in extremity, Urticaria

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: Montelukast
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: Aspirin
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: During the day that I was administered the vaccine I had pain in my arm (area in where I was vaccinated). The next day, I woke up with general pain in the body, pain in the arm where the vaccine was injected and it swelled up a little the skin under the eyes (hives). As the day goes by, the pain in the arm has diminished, as well as the hives in the eyes.


Changed on 5/7/2021

VAERS ID: 1130546 Before After
VAERS Form:2
Age:40.0
Sex:Male
Location:Puerto Rico
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 1808609 / 1 LA / IM

Administered by: Public      Purchased by: ??
Symptoms: Eye swelling, Pain, Pain in extremity, Urticaria

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: Montelukast
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: Aspirin Aspirin
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: During the day that I was administered the vaccine I had pain in my arm (area in where I was vaccinated). The next day, I woke up with general pain in the body, pain in the arm where the vaccine was injected and it swelled up a little the skin under the eyes (hives). As the day goes by, the pain in the arm has diminished, as well as the hives in the eyes.

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1130546&WAYBACKHISTORY=ON


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