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This is VAERS ID 1185265

History of Changes from the VAERS Wayback Machine

First Appeared on 4/23/2021

VAERS ID: 1185265
VAERS Form:2
Age:34.0
Sex:Male
Location:Arizona
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 202A21A / 1 RA / IM

Administered by: Other      Purchased by: ??
Symptoms: Fatigue, Headache, Pain, Limb discomfort

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: Levothyroxine
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: Ativan
Diagnostic Lab Data: N/A
CDC 'Split Type':

Write-up: Slight fatigue, headache, body aches, particularly in legs, similar to influenza. Very subtle though. Soreness upon waking as well. Injection site has no issues, just very light twinge when arm is raised.


Changed on 5/7/2021

VAERS ID: 1185265 Before After
VAERS Form:2
Age:34.0
Sex:Male
Location:Arizona
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 202A21A / 1 RA / IM

Administered by: Other      Purchased by: ??
Symptoms: Fatigue, Headache, Pain, Limb discomfort

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: Levothyroxine
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: Ativan Ativan
Diagnostic Lab Data: N/A
CDC 'Split Type':

Write-up: Slight fatigue, headache, body aches, particularly in legs, similar to influenza. Very subtle though. Soreness upon waking as well. Injection site has no issues, just very light twinge when arm is raised.


Changed on 5/14/2021

VAERS ID: 1185265 Before After
VAERS Form:2
Age:34.0
Sex:Male
Location:Arizona
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 202A21A / 1 RA / IM

Administered by: Other      Purchased by: ??
Symptoms: Fatigue, Headache, Pain, Limb discomfort

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: Levothyroxine
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: Ativan Ativan
Diagnostic Lab Data: N/A
CDC 'Split Type':

Write-up: Slight fatigue, headache, body aches, particularly in legs, similar to influenza. Very subtle though. Soreness upon waking as well. Injection site has no issues, just very light twinge when arm is raised.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1185265&WAYBACKHISTORY=ON


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