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This is VAERS ID 1213385

History of Changes from the VAERS Wayback Machine

First Appeared on 4/23/2021

VAERS ID: 1213385
VAERS Form:2
Age:48.0
Sex:Female
Location:Nevada
Vaccinated:2021-03-18
Onset:2021-03-24
Submitted:0000-00-00
Entered:2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805018 / UNK LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Computerised tomogram, Headache, Hypoaesthesia, Laboratory test abnormal, Autoimmune disorder, Magnetic resonance imaging

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations: Hives, at age 47, vaccine on 9/23/20, Influenza Quad w/ preservatives.
Other Medications: Vitamin D
Current Illness:
Preexisting Conditions: Autoimmune disease that was identified about a year ago
Allergies: NKDA
Diagnostic Lab Data: MRI on 3/24/21: No finding, Blood work on 3/24/21: No finding other than positive biomarker for autoimmune related disease, CT on 4/12/21: No finding
CDC 'Split Type':

Write-up: Left-sided severe headache and 3 occasion of left-sided facial numbness starting around 3/24/21 10:30 pm. Facial numbness is currently resolved. The severity of headache has improved.


Changed on 5/7/2021

VAERS ID: 1213385 Before After
VAERS Form:2
Age:48.0
Sex:Female
Location:Nevada
Vaccinated:2021-03-18
Onset:2021-03-24
Submitted:0000-00-00
Entered:2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805018 / UNK LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Computerised tomogram, Headache, Hypoaesthesia, Laboratory test abnormal, Autoimmune disorder, Magnetic resonance imaging

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations: Hives, at age 47, vaccine on 9/23/20, Influenza Quad w/ preservatives.
Other Medications: Vitamin D
Current Illness:
Preexisting Conditions: Autoimmune disease that was identified about a year ago
Allergies: NKDA NKDA
Diagnostic Lab Data: MRI on 3/24/21: No finding, Blood work on 3/24/21: No finding other than positive biomarker for autoimmune related disease, CT on 4/12/21: No finding
CDC 'Split Type':

Write-up: Left-sided severe headache and 3 occasion of left-sided facial numbness starting around 3/24/21 10:30 pm. Facial numbness is currently resolved. The severity of headache has improved.


Changed on 5/14/2021

VAERS ID: 1213385 Before After
VAERS Form:2
Age:48.0
Sex:Female
Location:Nevada
Vaccinated:2021-03-18
Onset:2021-03-24
Submitted:0000-00-00
Entered:2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805018 / UNK LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Computerised tomogram, Headache, Hypoaesthesia, Laboratory test abnormal, Autoimmune disorder, Magnetic resonance imaging

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations: Hives, at age 47, vaccine on 9/23/20, Influenza Quad w/ preservatives.
Other Medications: Vitamin D
Current Illness:
Preexisting Conditions: Autoimmune disease that was identified about a year ago
Allergies: NKDA NKDA
Diagnostic Lab Data: MRI on 3/24/21: No finding, Blood work on 3/24/21: No finding other than positive biomarker for autoimmune related disease, CT on 4/12/21: No finding
CDC 'Split Type':

Write-up: Left-sided severe headache and 3 occasion of left-sided facial numbness starting around 3/24/21 10:30 pm. Facial numbness is currently resolved. The severity of headache has improved.

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1213385&WAYBACKHISTORY=ON

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