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This is VAERS ID 1184815

History of Changes from the VAERS Wayback Machine

First Appeared on 4/16/2021

VAERS ID: 1184815
VAERS Form:2
Age:43.0
Sex:Female
Location:North Carolina
Vaccinated:2021-04-09
Onset:2021-04-09
Submitted:0000-00-00
Entered:2021-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Senior Living      Purchased by: ??
Symptoms: Feeling hot, Lacrimation increased, Pruritus, Skin hypertrophy, Skin warm, Vision blurred, Vital signs measurement

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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: Penicillin
Diagnostic Lab Data: Vitals
CDC 'Split Type':

Write-up: Ichy, felt hot all of sudden, eyes watery and blurry, side of neck (injection side) felt thick/hot.


Changed on 5/7/2021

VAERS ID: 1184815 Before After
VAERS Form:2
Age:43.0
Sex:Female
Location:North Carolina
Vaccinated:2021-04-09
Onset:2021-04-09
Submitted:0000-00-00
Entered:2021-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Senior Living      Purchased by: ??
Symptoms: Feeling hot, Lacrimation increased, Pruritus, Skin hypertrophy, Skin warm, Vision blurred, Vital signs measurement

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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: Penicillin Penicillin
Diagnostic Lab Data: Vitals
CDC 'Split Type':

Write-up: Ichy, felt hot all of sudden, eyes watery and blurry, side of neck (injection side) felt thick/hot.


Changed on 5/14/2021

VAERS ID: 1184815 Before After
VAERS Form:2
Age:43.0
Sex:Female
Location:North Carolina
Vaccinated:2021-04-09
Onset:2021-04-09
Submitted:0000-00-00
Entered:2021-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Senior Living      Purchased by: ??
Symptoms: Feeling hot, Lacrimation increased, Pruritus, Skin hypertrophy, Skin warm, Vision blurred, Vital signs measurement

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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: Penicillin Penicillin
Diagnostic Lab Data: Vitals
CDC 'Split Type':

Write-up: Ichy, felt hot all of sudden, eyes watery and blurry, side of neck (injection side) felt thick/hot.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1184815&WAYBACKHISTORY=ON


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