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This is VAERS ID 1184881

History of Changes from the VAERS Wayback Machine

First Appeared on 4/23/2021

VAERS ID: 1184881
VAERS Form:2
Age:33.0
Sex:Female
Location:New Jersey
Vaccinated:2021-04-08
Onset:2021-04-09
Submitted:0000-00-00
Entered:2021-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / 1 LA / SYR

Administered by: Private      Purchased by: ??
Symptoms: Chills, Fatigue, Feeling cold, Headache, Tremor, Vomiting

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

Write-up: Severe chills and shaking for about 40 minutes. Added extra layers of clothing and blankets but took a while to warm up. Vomited once about an hour after the chills. Felt OK after getting everything out. Headache was treated by Tylenol. Severe fatigue which still persists about 20 hours later.


Changed on 5/7/2021

VAERS ID: 1184881 Before After
VAERS Form:2
Age:33.0
Sex:Female
Location:New Jersey
Vaccinated:2021-04-08
Onset:2021-04-09
Submitted:0000-00-00
Entered:2021-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / 1 LA / SYR

Administered by: Private      Purchased by: ??
Symptoms: Chills, Fatigue, Feeling cold, Headache, Tremor, Vomiting

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

Write-up: Severe chills and shaking for about 40 minutes. Added extra layers of clothing and blankets but took a while to warm up. Vomited once about an hour after the chills. Felt OK after getting everything out. Headache was treated by Tylenol. Severe fatigue which still persists about 20 hours later.


Changed on 5/14/2021

VAERS ID: 1184881 Before After
VAERS Form:2
Age:33.0
Sex:Female
Location:New Jersey
Vaccinated:2021-04-08
Onset:2021-04-09
Submitted:0000-00-00
Entered:2021-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / 1 LA / SYR

Administered by: Private      Purchased by: ??
Symptoms: Chills, Fatigue, Feeling cold, Headache, Tremor, Vomiting

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

Write-up: Severe chills and shaking for about 40 minutes. Added extra layers of clothing and blankets but took a while to warm up. Vomited once about an hour after the chills. Felt OK after getting everything out. Headache was treated by Tylenol. Severe fatigue which still persists about 20 hours later.

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1184881&WAYBACKHISTORY=ON


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