National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 1186162

History of Changes from the VAERS Wayback Machine

First Appeared on 4/23/2021

VAERS ID: 1186162
VAERS Form:2
Age:31.0
Sex:Female
Location:Maryland
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 - / 1 RA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Abdominal pain upper, Back pain, Chills, Dizziness, Feeling cold, Migraine, Pain

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: Metoprolol Succinate, Metoprolol Tartrate, Claritin, Tylenol, Montelukast, Epi Pen, Vitamin D3, prenatal
Current Illness: Childbirth
Preexisting Conditions: Ehlers-Danlos Syndrome, chronic pain, mitral/pulmonic/aortic valve prolapses and regurgitation, SVTs, and IRBBB
Allergies: Penicillin, Bees, Maple, Pineapple
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Cold chills, migraine, lightheaded, stomach cramping, back pain, body aches


Changed on 5/7/2021

VAERS ID: 1186162 Before After
VAERS Form:2
Age:31.0
Sex:Female
Location:Maryland
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 - / 1 RA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Abdominal pain upper, Back pain, Chills, Dizziness, Feeling cold, Migraine, Pain

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: Metoprolol Succinate, Metoprolol Tartrate, Claritin, Tylenol, Montelukast, Epi Pen, Vitamin D3, prenatal
Current Illness: Childbirth
Preexisting Conditions: Ehlers-Danlos Syndrome, chronic pain, mitral/pulmonic/aortic valve prolapses and regurgitation, SVTs, and IRBBB
Allergies: Penicillin, Bees, Maple, Pineapple Pineapple
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Cold chills, migraine, lightheaded, stomach cramping, back pain, body aches


Changed on 5/14/2021

VAERS ID: 1186162 Before After
VAERS Form:2
Age:31.0
Sex:Female
Location:Maryland
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 - / 1 RA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Abdominal pain upper, Back pain, Chills, Dizziness, Feeling cold, Migraine, Pain

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: Metoprolol Succinate, Metoprolol Tartrate, Claritin, Tylenol, Montelukast, Epi Pen, Vitamin D3, prenatal
Current Illness: Childbirth
Preexisting Conditions: Ehlers-Danlos Syndrome, chronic pain, mitral/pulmonic/aortic valve prolapses and regurgitation, SVTs, and IRBBB
Allergies: Penicillin, Bees, Maple, Pineapple Pineapple
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Cold chills, migraine, lightheaded, stomach cramping, back pain, body aches

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1186162&WAYBACKHISTORY=ON


Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166