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This is VAERS ID 1178044

History of Changes from the VAERS Wayback Machine

First Appeared on 4/16/2021

VAERS ID: 1178044
VAERS Form:2
Age:19.0
Sex:Female
Location:Texas
Vaccinated:2021-04-06
Onset:2021-04-07
Submitted:0000-00-00
Entered:2021-04-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK AR / SYR

Administered by: School      Purchased by: ??
Symptoms: Chills, Migraine, Muscle spasms

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: N/A
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Intense Migraine, chills, intense muscle spasms


Changed on 5/7/2021

VAERS ID: 1178044 Before After
VAERS Form:2
Age:19.0
Sex:Female
Location:Texas
Vaccinated:2021-04-06
Onset:2021-04-07
Submitted:0000-00-00
Entered:2021-04-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK AR / SYR

Administered by: School      Purchased by: ??
Symptoms: Chills, Migraine, Muscle spasms

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: N/A
Current Illness: None
Preexisting Conditions: None
Allergies: None None
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Intense Migraine, chills, intense muscle spasms


Changed on 5/14/2021

VAERS ID: 1178044 Before After
VAERS Form:2
Age:19.0
Sex:Female
Location:Texas
Vaccinated:2021-04-06
Onset:2021-04-07
Submitted:0000-00-00
Entered:2021-04-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK AR / SYR

Administered by: School      Purchased by: ??
Symptoms: Chills, Migraine, Muscle spasms

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: N/A
Current Illness: None
Preexisting Conditions: None
Allergies: None None
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Intense Migraine, chills, intense muscle spasms

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1178044&WAYBACKHISTORY=ON

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