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This is VAERS ID 1171873

History of Changes from the VAERS Wayback Machine

First Appeared on 4/16/2021

VAERS ID: 1171873
VAERS Form:2
Age:81.0
Sex:Female
Location:Illinois
Vaccinated:2021-03-12
Onset:2021-04-01
Submitted:0000-00-00
Entered:2021-04-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805025 / 1 LA / SYR

Administered by: Private      Purchased by: ??
Symptoms: Back pain, Malaise, COVID-19, SARS-CoV-2 test positive

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: had left lower lobe from lung removed due to cancer. Diabetes, Copd, asthma, slight emphysema.
Allergies: penicillin buspar
Diagnostic Lab Data: Tested positive 04/01/2021
CDC 'Split Type':

Write-up: Not feeling well, no temp, but had pain in back behind lungs thought maybe it was pneumonia but, tested for covid just to make sure. It was positive.


Changed on 5/7/2021

VAERS ID: 1171873 Before After
VAERS Form:2
Age:81.0
Sex:Female
Location:Illinois
Vaccinated:2021-03-12
Onset:2021-04-01
Submitted:0000-00-00
Entered:2021-04-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805025 / 1 LA / SYR

Administered by: Private      Purchased by: ??
Symptoms: Back pain, Malaise, COVID-19, SARS-CoV-2 test positive

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: had left lower lobe from lung removed due to cancer. Diabetes, Copd, asthma, slight emphysema.
Allergies: penicillin buspar buspar
Diagnostic Lab Data: Tested positive 04/01/2021
CDC 'Split Type':

Write-up: Not feeling well, no temp, but had pain in back behind lungs thought maybe it was pneumonia but, tested for covid just to make sure. It was positive.


Changed on 5/14/2021

VAERS ID: 1171873 Before After
VAERS Form:2
Age:81.0
Sex:Female
Location:Illinois
Vaccinated:2021-03-12
Onset:2021-04-01
Submitted:0000-00-00
Entered:2021-04-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805025 / 1 LA / SYR

Administered by: Private      Purchased by: ??
Symptoms: Back pain, Malaise, COVID-19, SARS-CoV-2 test positive

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: had left lower lobe from lung removed due to cancer. Diabetes, Copd, asthma, slight emphysema.
Allergies: penicillin buspar buspar
Diagnostic Lab Data: Tested positive 04/01/2021
CDC 'Split Type':

Write-up: Not feeling well, no temp, but had pain in back behind lungs thought maybe it was pneumonia but, tested for covid just to make sure. It was positive.

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1171873&WAYBACKHISTORY=ON

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