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This is VAERS ID 1136359

History of Changes from the VAERS Wayback Machine

First Appeared on 4/1/2021

VAERS ID: 1136359
VAERS Form:2
Age:42.0
Sex:Male
Location:Texas
Vaccinated:2021-03-24
Onset:2021-03-25
Submitted:0000-00-00
Entered:2021-03-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

Administered by: Work      Purchased by: ??
Symptoms: Head discomfort, Headache, Tremor

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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 RX/MEDS or any prescriptions
Current Illness: not sick
Preexisting Conditions: A-fib 10 years ago.
Allergies: No allergies
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Muscles started to shake mildly, 8-10 hrs later. Next day Severe HEADACHE. Not pounding, but stiff pressure on both sides of temples. Treatment was 2 IB motrin, Slept for an hour and felt GREAT afterward. By 3 pm I was in great shape, no other issues to report even after 10 hours have past.


Changed on 5/7/2021

VAERS ID: 1136359 Before After
VAERS Form:2
Age:42.0
Sex:Male
Location:Texas
Vaccinated:2021-03-24
Onset:2021-03-25
Submitted:0000-00-00
Entered:2021-03-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

Administered by: Work      Purchased by: ??
Symptoms: Head discomfort, Headache, Tremor

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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 RX/MEDS or any prescriptions
Current Illness: not sick
Preexisting Conditions: A-fib 10 years ago.
Allergies: No allergies allergies
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Muscles started to shake mildly, 8-10 hrs later. Next day Severe HEADACHE. Not pounding, but stiff pressure on both sides of temples. Treatment was 2 IB motrin, Slept for an hour and felt GREAT afterward. By 3 pm I was in great shape, no other issues to report even after 10 hours have past.

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1136359&WAYBACKHISTORY=ON


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