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This is VAERS ID 1185331

History of Changes from the VAERS Wayback Machine

First Appeared on 4/23/2021

VAERS ID: 1185331
VAERS Form:2
Age:26.0
Sex:Female
Location:California
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 - / UNK - / -

Administered by: Public      Purchased by: ??
Symptoms: Chills, Headache, Injection site pain, Myalgia

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:
Current Illness:
Preexisting Conditions: Celiac and Graves Disease
Allergies: Gluten
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pain at injection site, chills, muscle pain, headache


Changed on 5/7/2021

VAERS ID: 1185331 Before After
VAERS Form:2
Age:26.0
Sex:Female
Location:California
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 - / UNK - / -

Administered by: Public      Purchased by: ??
Symptoms: Chills, Headache, Injection site pain, Myalgia

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:
Current Illness:
Preexisting Conditions: Celiac and Graves Disease
Allergies: Gluten Gluten
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pain at injection site, chills, muscle pain, headache


Changed on 5/14/2021

VAERS ID: 1185331 Before After
VAERS Form:2
Age:26.0
Sex:Female
Location:California
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 - / UNK - / -

Administered by: Public      Purchased by: ??
Symptoms: Chills, Headache, Injection site pain, Myalgia

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:
Current Illness:
Preexisting Conditions: Celiac and Graves Disease
Allergies: Gluten Gluten
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pain at injection site, chills, muscle pain, headache

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1185331&WAYBACKHISTORY=ON


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