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This is VAERS ID 1213487

History of Changes from the VAERS Wayback Machine

First Appeared on 4/23/2021

VAERS ID: 1213487
VAERS Form:2
Age:53.0
Sex:Female
Location:South Carolina
Vaccinated:2021-04-12
Onset:2021-04-13
Submitted:0000-00-00
Entered:2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN N/A / 1 - / -

Administered by: Unknown      Purchased by: ??
Symptoms: Migraine, Pyrexia, Mobility decreased

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: HUMIRA CF PEN 40MG/0.4ML, ADDERALL XR CAP 10MG, AMBIEN TAB 10MG, ESTRADIOL TAB 1MG, LEVOTHYROXINE SDV 100MCG, UBRELVY TAB 100MG
Current Illness:
Preexisting Conditions: Disorder of thyroid, Attention-deficit hyperactivity disorder, Migraine, Hormone replacement therapy (postmenopausal), Psoriasis vulgaris, Sleep disorder
Allergies: Actonel, Bactrim
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient reports they injected Humira on Sunday 4/11, then they got their J&J COVID vaccine on Monday 4/12. Patient reports they developed a fever of 103?F for 2 days and could not get out of bed the first day. Patient has also had a migraine for 3 days that is improving, and today it comes-and-goes. Patient also takes estrogen, so they are concerned for thrombosis risk. Patient denies blurred vision, fainting or loss of consciousness, or other changes in mental status. Patient also denies swollen or redness in their calves and ankles.


Changed on 5/7/2021

VAERS ID: 1213487 Before After
VAERS Form:2
Age:53.0
Sex:Female
Location:South Carolina
Vaccinated:2021-04-12
Onset:2021-04-13
Submitted:0000-00-00
Entered:2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN N/A / 1 - / -

Administered by: Unknown      Purchased by: ??
Symptoms: Migraine, Pyrexia, Mobility decreased

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: HUMIRA CF PEN 40MG/0.4ML, ADDERALL XR CAP 10MG, AMBIEN TAB 10MG, ESTRADIOL TAB 1MG, LEVOTHYROXINE SDV 100MCG, UBRELVY TAB 100MG
Current Illness:
Preexisting Conditions: Disorder of thyroid, Attention-deficit hyperactivity disorder, Migraine, Hormone replacement therapy (postmenopausal), Psoriasis vulgaris, Sleep disorder
Allergies: Actonel, Bactrim Bactrim
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient reports they injected Humira on Sunday 4/11, then they got their J&J COVID vaccine on Monday 4/12. Patient reports they developed a fever of 103?F 103F for 2 days and could not get out of bed the first day. Patient has also had a migraine for 3 days that is improving, and today it comes-and-goes. Patient also takes estrogen, so they are concerned for thrombosis risk. Patient denies blurred vision, fainting or loss of consciousness, or other changes in mental status. Patient also denies swollen or redness in their calves and ankles.


Changed on 5/14/2021

VAERS ID: 1213487 Before After
VAERS Form:2
Age:53.0
Sex:Female
Location:South Carolina
Vaccinated:2021-04-12
Onset:2021-04-13
Submitted:0000-00-00
Entered:2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN N/A / 1 - / -

Administered by: Unknown      Purchased by: ??
Symptoms: Migraine, Pyrexia, Mobility decreased

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: HUMIRA CF PEN 40MG/0.4ML, ADDERALL XR CAP 10MG, AMBIEN TAB 10MG, ESTRADIOL TAB 1MG, LEVOTHYROXINE SDV 100MCG, UBRELVY TAB 100MG
Current Illness:
Preexisting Conditions: Disorder of thyroid, Attention-deficit hyperactivity disorder, Migraine, Hormone replacement therapy (postmenopausal), Psoriasis vulgaris, Sleep disorder
Allergies: Actonel, Bactrim Bactrim
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient reports they injected Humira on Sunday 4/11, then they got their J&J COVID vaccine on Monday 4/12. Patient reports they developed a fever of 103F 103?F for 2 days and could not get out of bed the first day. Patient has also had a migraine for 3 days that is improving, and today it comes-and-goes. Patient also takes estrogen, so they are concerned for thrombosis risk. Patient denies blurred vision, fainting or loss of consciousness, or other changes in mental status. Patient also denies swollen or redness in their calves and ankles.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1213487&WAYBACKHISTORY=ON

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