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This is VAERS ID 1212087

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History of Changes from the VAERS Wayback Machine

First Appeared on 4/23/2021

VAERS ID: 1212087
VAERS Form:2
Age:47.0
Sex:Female
Location:Louisiana
Vaccinated:2021-03-09
Onset:2021-04-01
Submitted:0000-00-00
Entered:2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1802072 / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Arthralgia, Injection site pain, Lethargy, Myalgia, 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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Site: Pain at Injection Site-Mild, Systemic: Body Aches Generalized-Medium, Systemic: Right leg pain-Medium, Systemic: Joint Pain-Mild, Additional Details: Patient states she is suffering from right leg muscle pain that started on 04/01/2021. She saw on the news about the Johnson & Johnson vaccine being paused so she is wondering if her pain is a result of her vaccine .She has an appointment to see her doctor tomorrow on 04/15/2021.


Changed on 5/7/2021

VAERS ID: 1212087 Before After
VAERS Form:2
Age:47.0
Sex:Female
Location:Louisiana
Vaccinated:2021-03-09
Onset:2021-04-01
Submitted:0000-00-00
Entered:2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1802072 / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Arthralgia, Injection site pain, Lethargy, Myalgia, 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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Site: Pain at Injection Site-Mild, Systemic: Body Aches Generalized-Medium, Systemic: Right leg pain-Medium, Systemic: Joint Pain-Mild, Additional Details: Patient states she is suffering from right leg muscle pain that started on 04/01/2021. She saw on the news about the Johnson & Johnson vaccine being paused so she is wondering if her pain is a result of her vaccine .She has an appointment to see her doctor tomorrow on 04/15/2021.


Changed on 5/14/2021

VAERS ID: 1212087 Before After
VAERS Form:2
Age:47.0
Sex:Female
Location:Louisiana
Vaccinated:2021-03-09
Onset:2021-04-01
Submitted:0000-00-00
Entered:2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1802072 / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Arthralgia, Injection site pain, Lethargy, Myalgia, 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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Site: Pain at Injection Site-Mild, Systemic: Body Aches Generalized-Medium, Systemic: Right leg pain-Medium, Systemic: Joint Pain-Mild, Additional Details: Patient states she is suffering from right leg muscle pain that started on 04/01/2021. She saw on the news about the Johnson & Johnson vaccine being paused so she is wondering if her pain is a result of her vaccine .She has an appointment to see her doctor tomorrow on 04/15/2021.

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