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This is VAERS ID 1175866

History of Changes from the VAERS Wayback Machine

First Appeared on 4/16/2021

VAERS ID: 1175866
VAERS Form:2
Age:34.0
Sex:Female
Location:Illinois
Vaccinated:2021-03-18
Onset:2021-03-19
Submitted:0000-00-00
Entered:2021-04-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805018 / 1 LA / SYR

Administered by: Other      Purchased by: ??
Symptoms: Chills, Cough, Electrocardiogram normal, Heart rate increased, Pain, Pyrexia, White blood cell count increased, Respiratory tract congestion

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: vit D, acid reflux medication, elderberry
Current Illness: n/a
Preexisting Conditions: n/a
Allergies: seasonal allergies
Diagnostic Lab Data: EKG; Normal Blood panel; Elevated WBC
CDC 'Split Type': VSAFE

Write-up: 3/18 vaccination About 16 hours later, I started to experience chills, low grade fever, body aches, light cough. Sat., I woke up with fever, body aches. Took Tylenol to relieve symptoms. Sunday I had a fever that spiked to 101.7 with elevated HR. Chills, cough was worse, congestion in chest. I went to the ER. EKG was normal. Elevated WBC. F/up PCM; repeated blood panel. WBC still elevated. Continued with intermittent cough, congestion and low grade fever. Treatment to include steroids and doxycycline. To repeat WBC in 4 weeks with PCM.


Changed on 5/7/2021

VAERS ID: 1175866 Before After
VAERS Form:2
Age:34.0
Sex:Female
Location:Illinois
Vaccinated:2021-03-18
Onset:2021-03-19
Submitted:0000-00-00
Entered:2021-04-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805018 / 1 LA / SYR

Administered by: Other      Purchased by: ??
Symptoms: Chills, Cough, Electrocardiogram normal, Heart rate increased, Pain, Pyrexia, White blood cell count increased, Respiratory tract congestion

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: vit D, acid reflux medication, elderberry
Current Illness: n/a
Preexisting Conditions: n/a
Allergies: seasonal allergies allergies
Diagnostic Lab Data: EKG; Normal Blood panel; Elevated WBC
CDC 'Split Type': VSAFE

Write-up: 3/18 vaccination About 16 hours later, I started to experience chills, low grade fever, body aches, light cough. Sat., I woke up with fever, body aches. Took Tylenol to relieve symptoms. Sunday I had a fever that spiked to 101.7 with elevated HR. Chills, cough was worse, congestion in chest. I went to the ER. EKG was normal. Elevated WBC. F/up PCM; repeated blood panel. WBC still elevated. Continued with intermittent cough, congestion and low grade fever. Treatment to include steroids and doxycycline. To repeat WBC in 4 weeks with PCM.


Changed on 5/14/2021

VAERS ID: 1175866 Before After
VAERS Form:2
Age:34.0
Sex:Female
Location:Illinois
Vaccinated:2021-03-18
Onset:2021-03-19
Submitted:0000-00-00
Entered:2021-04-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805018 / 1 LA / SYR

Administered by: Other      Purchased by: ??
Symptoms: Chills, Cough, Electrocardiogram normal, Heart rate increased, Pain, Pyrexia, White blood cell count increased, Respiratory tract congestion

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: vit D, acid reflux medication, elderberry
Current Illness: n/a
Preexisting Conditions: n/a
Allergies: seasonal allergies allergies
Diagnostic Lab Data: EKG; Normal Blood panel; Elevated WBC
CDC 'Split Type': VSAFE

Write-up: 3/18 vaccination About 16 hours later, I started to experience chills, low grade fever, body aches, light cough. Sat., I woke up with fever, body aches. Took Tylenol to relieve symptoms. Sunday I had a fever that spiked to 101.7 with elevated HR. Chills, cough was worse, congestion in chest. I went to the ER. EKG was normal. Elevated WBC. F/up PCM; repeated blood panel. WBC still elevated. Continued with intermittent cough, congestion and low grade fever. Treatment to include steroids and doxycycline. To repeat WBC in 4 weeks with PCM.


Changed on 6/11/2021

VAERS ID: 1175866 Before After
VAERS Form:2
Age:34.0
Sex:Female
Location:Illinois
Vaccinated:2021-03-18
Onset:2021-03-19
Submitted:0000-00-00
Entered:2021-04-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805018 / 1 LA / SYR

Administered by: Other      Purchased by: ??
Symptoms: Chills, Cough, Electrocardiogram normal, Heart rate increased, Pain, Pyrexia, White blood cell count increased, Respiratory tract congestion

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: vit D, acid reflux medication, elderberry
Current Illness: n/a
Preexisting Conditions: n/a
Allergies: seasonal allergies
Diagnostic Lab Data: EKG; Normal Blood panel; Elevated WBC
CDC 'Split Type': VSAFE vsafe

Write-up: 3/18 vaccination About 16 hours later, I started to experience chills, low grade fever, body aches, light cough. Sat., I woke up with fever, body aches. Took Tylenol to relieve symptoms. Sunday I had a fever that spiked to 101.7 with elevated HR. Chills, cough was worse, congestion in chest. I went to the ER. EKG was normal. Elevated WBC. F/up PCM; repeated blood panel. WBC still elevated. Continued with intermittent cough, congestion and low grade fever. Treatment to include steroids and doxycycline. To repeat WBC in 4 weeks with PCM.

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