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This is VAERS ID 1131813

History of Changes from the VAERS Wayback Machine

First Appeared on 4/1/2021

VAERS ID: 1131813
VAERS Form:2
Age:35.0
Sex:Female
Location:Georgia
Vaccinated:2021-03-24
Onset:2021-03-25
Submitted:0000-00-00
Entered:2021-03-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / IM

Administered by: Public      Purchased by: ??
Symptoms: Abdominal pain upper, Chills, Dizziness, Pyrexia, Renal 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: No
Current Illness: No
Preexisting Conditions: No
Allergies: No
Diagnostic Lab Data: No medical insurance
CDC 'Split Type':

Write-up: Whole stomach cramps Aching kidneys Fever Chills Dizzy


Changed on 5/7/2021

VAERS ID: 1131813 Before After
VAERS Form:2
Age:35.0
Sex:Female
Location:Georgia
Vaccinated:2021-03-24
Onset:2021-03-25
Submitted:0000-00-00
Entered:2021-03-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / IM

Administered by: Public      Purchased by: ??
Symptoms: Abdominal pain upper, Chills, Dizziness, Pyrexia, Renal 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: No
Current Illness: No
Preexisting Conditions: No
Allergies: No No
Diagnostic Lab Data: No medical insurance
CDC 'Split Type':

Write-up: Whole stomach cramps Aching kidneys Fever Chills Dizzy

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1131813&WAYBACKHISTORY=ON


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