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This is VAERS ID 1213016

History of Changes from the VAERS Wayback Machine

First Appeared on 4/23/2021

VAERS ID: 1213016
VAERS Form:2
Age:55.0
Sex:Female
Location:New York
Vaccinated:2021-03-19
Onset:2021-03-28
Submitted:0000-00-00
Entered:2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 0260364-14488 / 1 - / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Gait inability, Pain in extremity

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: Losartan Janumet Norvasc Lipitor Hydrodiuril Xalatan opthal. sol. Timolol opthal. sol.
Current Illness: Neck pain
Preexisting Conditions: Diabetes HTN Hyperlipidemia Glaucoma
Allergies: No known allergies
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: 10 days after receiving Janssen COVID-19 vaccine I suddenly developed severe pain to my right leg. Pain was so severe I could not walk, I dragged myself into the medicine pantry and believing it could possibly be a thrombosis, I instantly took 2 baby aspirins. Although I wanted to call for help, I was too far from my phone therefore I began to massage the area and remained in place until the pain subsided enough to regain movement.


Changed on 5/7/2021

VAERS ID: 1213016 Before After
VAERS Form:2
Age:55.0
Sex:Female
Location:New York
Vaccinated:2021-03-19
Onset:2021-03-28
Submitted:0000-00-00
Entered:2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 0260364-14488 / 1 - / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Gait inability, Pain in extremity

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: Losartan Janumet Norvasc Lipitor Hydrodiuril Xalatan opthal. sol. Timolol opthal. sol.
Current Illness: Neck pain
Preexisting Conditions: Diabetes HTN Hyperlipidemia Glaucoma
Allergies: No known allergies allergies
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: 10 days after receiving Janssen COVID-19 vaccine I suddenly developed severe pain to my right leg. Pain was so severe I could not walk, I dragged myself into the medicine pantry and believing it could possibly be a thrombosis, I instantly took 2 baby aspirins. Although I wanted to call for help, I was too far from my phone therefore I began to massage the area and remained in place until the pain subsided enough to regain movement.


Changed on 5/14/2021

VAERS ID: 1213016 Before After
VAERS Form:2
Age:55.0
Sex:Female
Location:New York
Vaccinated:2021-03-19
Onset:2021-03-28
Submitted:0000-00-00
Entered:2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 0260364-14488 / 1 - / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Gait inability, Pain in extremity

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: Losartan Janumet Norvasc Lipitor Hydrodiuril Xalatan opthal. sol. Timolol opthal. sol.
Current Illness: Neck pain
Preexisting Conditions: Diabetes HTN Hyperlipidemia Glaucoma
Allergies: No known allergies allergies
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: 10 days after receiving Janssen COVID-19 vaccine I suddenly developed severe pain to my right leg. Pain was so severe I could not walk, I dragged myself into the medicine pantry and believing it could possibly be a thrombosis, I instantly took 2 baby aspirins. Although I wanted to call for help, I was too far from my phone therefore I began to massage the area and remained in place until the pain subsided enough to regain movement.

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1213016&WAYBACKHISTORY=ON

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