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This is VAERS ID 1136723

History of Changes from the VAERS Wayback Machine

First Appeared on 4/1/2021

VAERS ID: 1136723
VAERS Form:2
Age:40.0
Sex:Female
Location:Tennessee
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: Pharmacy      Purchased by: ??
Symptoms: Dizziness, Fatigue, Headache, Hyperacusis, Photophobia

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: Celexa, Ritalin, multi vitamin, Omega 3, BCAA, Tumeric
Current Illness: none
Preexisting Conditions: asthma
Allergies: none
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: Headache, sensitivity to light and sound, dizziness, fatigue

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1136723&WAYBACKHISTORY=ON


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