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This is VAERS ID 1185333

History of Changes from the VAERS Wayback Machine

First Appeared on 4/23/2021

VAERS ID: 1185333
VAERS Form:2
Age:60.0
Sex:Female
Location:Wisconsin
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 043A21A / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Nail discolouration

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: unknown- pt is not getting any medications from the pharmay. said all no to the questions.
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: After receiving the shot pt is sitting outside the pharmacy area. After about 10 minutes she informs me, that her finger nail beds are turning orange. This had affected both of her hands. Did not spread to her feet. PT was not complaining of any trouble breathing or itchiness. I observed the pt for a total of 30 minutes. PT stated she is not having trouble breathing and I said its ok to go home. Informed pt to fill out V-safe and if the coloring does not go back to normal in a day reach out to her PCP.


Changed on 5/7/2021

VAERS ID: 1185333 Before After
VAERS Form:2
Age:60.0
Sex:Female
Location:Wisconsin
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 043A21A / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Nail discolouration

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: unknown- pt is not getting any medications from the pharmay. said all no to the questions.
Current Illness: None
Preexisting Conditions: None
Allergies: None None
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: After receiving the shot pt is sitting outside the pharmacy area. After about 10 minutes she informs me, that her finger nail beds are turning orange. This had affected both of her hands. Did not spread to her feet. PT was not complaining of any trouble breathing or itchiness. I observed the pt for a total of 30 minutes. PT stated she is not having trouble breathing and I said its ok to go home. Informed pt to fill out V-safe and if the coloring does not go back to normal in a day reach out to her PCP.


Changed on 5/14/2021

VAERS ID: 1185333 Before After
VAERS Form:2
Age:60.0
Sex:Female
Location:Wisconsin
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 043A21A / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Nail discolouration

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: unknown- pt is not getting any medications from the pharmay. said all no to the questions.
Current Illness: None
Preexisting Conditions: None
Allergies: None None
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: After receiving the shot pt is sitting outside the pharmacy area. After about 10 minutes she informs me, that her finger nail beds are turning orange. This had affected both of her hands. Did not spread to her feet. PT was not complaining of any trouble breathing or itchiness. I observed the pt for a total of 30 minutes. PT stated she is not having trouble breathing and I said its ok to go home. Informed pt to fill out V-safe and if the coloring does not go back to normal in a day reach out to her PCP.

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1185333&WAYBACKHISTORY=ON


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