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This is VAERS ID 1136486

History of Changes from the VAERS Wayback Machine

First Appeared on 4/1/2021

VAERS ID: 1136486
VAERS Form:2
Age:67.0
Sex:Female
Location:Massachusetts
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 / SYR

Administered by: Pharmacy      Purchased by: ??
Symptoms: Headache, Ocular hyperaemia, Photophobia, Paranasal sinus hypersecretion

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Thyroxine,lexapro ,albuterol inhaler
Current Illness: None
Preexisting Conditions:
Allergies: NKA
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Blood shot rt eye, light sensitivity, rt sinus draof mucous , head ache over rt eye


Changed on 5/7/2021

VAERS ID: 1136486 Before After
VAERS Form:2
Age:67.0
Sex:Female
Location:Massachusetts
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 / SYR

Administered by: Pharmacy      Purchased by: ??
Symptoms: Headache, Ocular hyperaemia, Photophobia, Paranasal sinus hypersecretion

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Thyroxine,lexapro ,albuterol inhaler
Current Illness: None
Preexisting Conditions:
Allergies: NKA NKA
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Blood shot rt eye, light sensitivity, rt sinus draof mucous , head ache over rt eye

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1136486&WAYBACKHISTORY=ON


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