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This is VAERS ID 1136533

History of Changes from the VAERS Wayback Machine

First Appeared on 4/1/2021

VAERS ID: 1136533
VAERS Form:2
Age:32.0
Sex:Female
Location:California
Vaccinated:2021-03-25
Onset:2021-03-25
Submitted:0000-00-00
Entered:2021-03-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805029 / UNK - / SYR

Administered by: Private      Purchased by: ??
Symptoms: Chills, Headache, Myalgia, Nausea, Pain in extremity, Pyrexia

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: Tylenol extra strength 500 mg
Current Illness: None
Preexisting Conditions: None
Allergies: Pineapple
Diagnostic Lab Data: N/a
CDC 'Split Type':

Write-up: Around 1:00 pm felt nauseous went away. 8:30 pm soreness in arm nausea around food. 9-10 pm chills, fever, muscle aches. 2:30-4:45 am on 3/26/2021 headache, chills, muscle aches. 5:15-6:00 am headache

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1136533&WAYBACKHISTORY=ON


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