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This is VAERS ID 1212154

History of Changes from the VAERS Wayback Machine

First Appeared on 4/23/2021

VAERS ID: 1212154
VAERS Form:2
Age:40.0
Sex:Female
Location:Connecticut
Vaccinated:2021-03-09
Onset:2021-03-09
Submitted:0000-00-00
Entered:2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805022 / 1 LA / IM

Administered by: Work      Purchased by: ??
Symptoms: Back pain, Chest X-ray, Chills, Computerised tomogram, Cough, Dyspnoea, Fatigue, Headache, Nausea, Pain, Pain in extremity, Tremor, Oropharyngeal pain, COVID-19, SARS-CoV-2 test positive

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: partially clotted varicose vein in upper right thigh
Allergies: amoxicillan, penicillan
Diagnostic Lab Data: 3/19/21 - chest x-ray, CT scan at hospital
CDC 'Split Type':

Write-up: Within 4 hours of receiving the vaccine on 3/9/21 I felt exhaustion, body aches, chills and headache. About 30 hours later I started to experience extreme leg pain/tremors, severe nausea and an unrelenting headache, lower back pain and continued chills. 6 days after receiving the vaccine (3/15/21) I tested positive for Covid-19 and the symptoms worsened. 8 days after receiving the vaccine I developed a cough and sore throat and trouble breathing. 10 days after receiving the vaccine I went to the emergency room (3/19/21) and received a chest x-ray and diagnosed with covid pneumonia and given antibiotics to treat along with a CT scan. Symptoms started to subside about 2 weeks after receiving the vaccine, although to this day I am still troubled with a lingering headache and constant fatigue. Throughout the duration I relied on Tylenol and Motrin. At the hospital I was prescribed indomethacin and ondansetron for pain and nausea.


Changed on 5/7/2021

VAERS ID: 1212154 Before After
VAERS Form:2
Age:40.0
Sex:Female
Location:Connecticut
Vaccinated:2021-03-09
Onset:2021-03-09
Submitted:0000-00-00
Entered:2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805022 / 1 LA / IM

Administered by: Work      Purchased by: ??
Symptoms: Back pain, Chest X-ray, Chills, Computerised tomogram, Cough, Dyspnoea, Fatigue, Headache, Nausea, Pain, Pain in extremity, Tremor, Oropharyngeal pain, COVID-19, SARS-CoV-2 test positive

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: partially clotted varicose vein in upper right thigh
Allergies: amoxicillan, penicillan penicillan
Diagnostic Lab Data: 3/19/21 - chest x-ray, CT scan at hospital
CDC 'Split Type':

Write-up: Within 4 hours of receiving the vaccine on 3/9/21 I felt exhaustion, body aches, chills and headache. About 30 hours later I started to experience extreme leg pain/tremors, severe nausea and an unrelenting headache, lower back pain and continued chills. 6 days after receiving the vaccine (3/15/21) I tested positive for Covid-19 and the symptoms worsened. 8 days after receiving the vaccine I developed a cough and sore throat and trouble breathing. 10 days after receiving the vaccine I went to the emergency room (3/19/21) and received a chest x-ray and diagnosed with covid pneumonia and given antibiotics to treat along with a CT scan. Symptoms started to subside about 2 weeks after receiving the vaccine, although to this day I am still troubled with a lingering headache and constant fatigue. Throughout the duration I relied on Tylenol and Motrin. At the hospital I was prescribed indomethacin and ondansetron for pain and nausea.


Changed on 5/14/2021

VAERS ID: 1212154 Before After
VAERS Form:2
Age:40.0
Sex:Female
Location:Connecticut
Vaccinated:2021-03-09
Onset:2021-03-09
Submitted:0000-00-00
Entered:2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805022 / 1 LA / IM

Administered by: Work      Purchased by: ??
Symptoms: Back pain, Chest X-ray, Chills, Computerised tomogram, Cough, Dyspnoea, Fatigue, Headache, Nausea, Pain, Pain in extremity, Tremor, Oropharyngeal pain, COVID-19, SARS-CoV-2 test positive

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: partially clotted varicose vein in upper right thigh
Allergies: amoxicillan, penicillan penicillan
Diagnostic Lab Data: 3/19/21 - chest x-ray, CT scan at hospital
CDC 'Split Type':

Write-up: Within 4 hours of receiving the vaccine on 3/9/21 I felt exhaustion, body aches, chills and headache. About 30 hours later I started to experience extreme leg pain/tremors, severe nausea and an unrelenting headache, lower back pain and continued chills. 6 days after receiving the vaccine (3/15/21) I tested positive for Covid-19 and the symptoms worsened. 8 days after receiving the vaccine I developed a cough and sore throat and trouble breathing. 10 days after receiving the vaccine I went to the emergency room (3/19/21) and received a chest x-ray and diagnosed with covid pneumonia and given antibiotics to treat along with a CT scan. Symptoms started to subside about 2 weeks after receiving the vaccine, although to this day I am still troubled with a lingering headache and constant fatigue. Throughout the duration I relied on Tylenol and Motrin. At the hospital I was prescribed indomethacin and ondansetron for pain and nausea.

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