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This is VAERS ID 1130655

History of Changes from the VAERS Wayback Machine

First Appeared on 4/1/2021

VAERS ID: 1130655
VAERS Form:2
Age:18.0
Sex:Female
Location:Georgia
Vaccinated:2021-03-24
Onset:2021-03-24
Submitted:0000-00-00
Entered:2021-03-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 047A21A / 1 LA / ID

Administered by: School      Purchased by: ??
Symptoms: Myalgia

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: Levothyroxin (50mg), Daily multivitamin
Current Illness:
Preexisting Conditions: Hypothyroidism
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Muscle pain throughout are and left hand cramping through fingers. Mild whole body muscle aches. Approx. 4 hours after injection.


Changed on 5/7/2021

VAERS ID: 1130655 Before After
VAERS Form:2
Age:18.0
Sex:Female
Location:Georgia
Vaccinated:2021-03-24
Onset:2021-03-24
Submitted:0000-00-00
Entered:2021-03-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 047A21A / 1 LA / ID

Administered by: School      Purchased by: ??
Symptoms: Myalgia

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: Levothyroxin (50mg), Daily multivitamin
Current Illness:
Preexisting Conditions: Hypothyroidism
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Muscle pain throughout are and left hand cramping through fingers. Mild whole body muscle aches. Approx. 4 hours after injection.

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1130655&WAYBACKHISTORY=ON


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