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This is VAERS ID 1182520

History of Changes from the VAERS Wayback Machine

First Appeared on 4/16/2021

VAERS ID: 1182520
VAERS Form:2
Age:42.0
Sex:Male
Location:Texas
Vaccinated:2021-03-01
Onset:2021-03-13
Submitted:0000-00-00
Entered:2021-04-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 18050301 / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Arthralgia, Back pain, Blood pressure increased, Burning sensation, Cold sweat, Feeling hot, Headache, Heart rate increased, Hyperaesthesia, Hyperhidrosis, Insomnia, Nausea, Neuropathy peripheral, Pain in extremity, Paraesthesia, Sticky skin, Impaired work ability

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: Lotrel 10-20mg Rosuvastatin 10mg every other day Zinc 50mg Vitamin D3 CoQ10 Multivitamin
Current Illness: No
Preexisting Conditions: Hypertension
Allergies:
Diagnostic Lab Data: Blood work done at doctor on 3/22/2021 HgBAIC within normal limits Vitamin levels normal.
CDC 'Split Type':

Write-up: 3/13/2021 began having right forearm wrist was sensitive to touch and skin clammy. 3/14/2021 still clammy in both hands. 3/15/2021 whole body clammy and sticky. Both shins and ankles had burning sensation. 3/17/2021 both ankles painful mostly at night. 3/18/2021 both ankles, shins and legs painful all day. Unable to sleep at night. 3/19/2021 left work early due to nauseated, headache and pain and burning both legs. Blood pressure elevated. 3/20/2021 head pounding and elevated rate and nauseated. Went to ER for continued leg/shins burning and pain. ABI was normal. Diagnosed with neuropathy. 3/23/2021 blood pressure elevated due to pain 3/24/2021 pain to legs and shins continue below know. pain scale 5. 3/26/2021 pain to legs and shins pain scale 7 3/27/2021 pain to legs and shins pain scale 3 3/29/2021 burning and sensitive legs. Sensitivity now present in both arms. 3/30/2021 burning to forearms and legs 4/1/2021 pain scale 3 burning pain to forearms and legs. 4/4/2021 improved pain 4/5/2021 tingling resumed to legs and calves. Pain scale 4. 4/6/2021 sensitive/burning bilateral forearm and wrist and bilateral legs. 4/7/2021 left leg burning more and feels warm. Back ache began 4/8/2021 both legs still burning and tingling. Heart rate elevated. Back pain continues.


Changed on 5/7/2021

VAERS ID: 1182520 Before After
VAERS Form:2
Age:42.0
Sex:Male
Location:Texas
Vaccinated:2021-03-01
Onset:2021-03-13
Submitted:0000-00-00
Entered:2021-04-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 18050301 / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Arthralgia, Back pain, Blood pressure increased, Burning sensation, Cold sweat, Feeling hot, Headache, Heart rate increased, Hyperaesthesia, Hyperhidrosis, Insomnia, Nausea, Neuropathy peripheral, Pain in extremity, Paraesthesia, Sticky skin, Impaired work ability

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: Lotrel 10-20mg Rosuvastatin 10mg every other day Zinc 50mg Vitamin D3 CoQ10 Multivitamin
Current Illness: No
Preexisting Conditions: Hypertension
Allergies:
Diagnostic Lab Data: Blood work done at doctor on 3/22/2021 HgBAIC within normal limits Vitamin levels normal.
CDC 'Split Type':

Write-up: 3/13/2021 began having right forearm wrist was sensitive to touch and skin clammy. 3/14/2021 still clammy in both hands. 3/15/2021 whole body clammy and sticky. Both shins and ankles had burning sensation. 3/17/2021 both ankles painful mostly at night. 3/18/2021 both ankles, shins and legs painful all day. Unable to sleep at night. 3/19/2021 left work early due to nauseated, headache and pain and burning both legs. Blood pressure elevated. 3/20/2021 head pounding and elevated rate and nauseated. Went to ER for continued leg/shins burning and pain. ABI was normal. Diagnosed with neuropathy. 3/23/2021 blood pressure elevated due to pain 3/24/2021 pain to legs and shins continue below know. pain scale 5. 3/26/2021 pain to legs and shins pain scale 7 3/27/2021 pain to legs and shins pain scale 3 3/29/2021 burning and sensitive legs. Sensitivity now present in both arms. 3/30/2021 burning to forearms and legs 4/1/2021 pain scale 3 burning pain to forearms and legs. 4/4/2021 improved pain 4/5/2021 tingling resumed to legs and calves. Pain scale 4. 4/6/2021 sensitive/burning bilateral forearm and wrist and bilateral legs. 4/7/2021 left leg burning more and feels warm. Back ache began 4/8/2021 both legs still burning and tingling. Heart rate elevated. Back pain continues.


Changed on 5/14/2021

VAERS ID: 1182520 Before After
VAERS Form:2
Age:42.0
Sex:Male
Location:Texas
Vaccinated:2021-03-01
Onset:2021-03-13
Submitted:0000-00-00
Entered:2021-04-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 18050301 / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Arthralgia, Back pain, Blood pressure increased, Burning sensation, Cold sweat, Feeling hot, Headache, Heart rate increased, Hyperaesthesia, Hyperhidrosis, Insomnia, Nausea, Neuropathy peripheral, Pain in extremity, Paraesthesia, Sticky skin, Impaired work ability

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: Lotrel 10-20mg Rosuvastatin 10mg every other day Zinc 50mg Vitamin D3 CoQ10 Multivitamin
Current Illness: No
Preexisting Conditions: Hypertension
Allergies:
Diagnostic Lab Data: Blood work done at doctor on 3/22/2021 HgBAIC within normal limits Vitamin levels normal.
CDC 'Split Type':

Write-up: 3/13/2021 began having right forearm wrist was sensitive to touch and skin clammy. 3/14/2021 still clammy in both hands. 3/15/2021 whole body clammy and sticky. Both shins and ankles had burning sensation. 3/17/2021 both ankles painful mostly at night. 3/18/2021 both ankles, shins and legs painful all day. Unable to sleep at night. 3/19/2021 left work early due to nauseated, headache and pain and burning both legs. Blood pressure elevated. 3/20/2021 head pounding and elevated rate and nauseated. Went to ER for continued leg/shins burning and pain. ABI was normal. Diagnosed with neuropathy. 3/23/2021 blood pressure elevated due to pain 3/24/2021 pain to legs and shins continue below know. pain scale 5. 3/26/2021 pain to legs and shins pain scale 7 3/27/2021 pain to legs and shins pain scale 3 3/29/2021 burning and sensitive legs. Sensitivity now present in both arms. 3/30/2021 burning to forearms and legs 4/1/2021 pain scale 3 burning pain to forearms and legs. 4/4/2021 improved pain 4/5/2021 tingling resumed to legs and calves. Pain scale 4. 4/6/2021 sensitive/burning bilateral forearm and wrist and bilateral legs. 4/7/2021 left leg burning more and feels warm. Back ache began 4/8/2021 both legs still burning and tingling. Heart rate elevated. Back pain continues.

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