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This is VAERS ID 1213981

History of Changes from the VAERS Wayback Machine

First Appeared on 4/23/2021

VAERS ID: 1213981
VAERS Form:2
Age:29.0
Sex:Female
Location:Illinois
Vaccinated:2021-04-07
Onset:2021-04-08
Submitted:0000-00-00
Entered:2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Hypoaesthesia, Injection site pain, Pain in extremity, Paraesthesia, Physical examination, Nerve injury, Immediate post-injection reaction

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:
Other Medications: None
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: After scheduling an appt with my Dr, the office advised me to go to the ER. I went the day she advised me on 4/13. There the ER DR believes some how my ulnar nerve in my left arm was effected by the vaccine, which is causing the pain in my elbow, down the arm to my palm and two fingers. I now have a follow with my DR on 4/23.
CDC 'Split Type':

Write-up: Immediately after receiving the vaccine I felt burning at the site and shoulder that went away after a few minutes. My left arm was tingling , this lasted the rest of the night. The next day i experienced numbness/tingling and dull aching pain in my elbow, down my arm to my palm and two fingers (middle and ring). This has been intermittent for a week now, really effecting me while i drive and work as a travel nurse.


Changed on 5/7/2021

VAERS ID: 1213981 Before After
VAERS Form:2
Age:29.0
Sex:Female
Location:Illinois
Vaccinated:2021-04-07
Onset:2021-04-08
Submitted:0000-00-00
Entered:2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Hypoaesthesia, Injection site pain, Pain in extremity, Paraesthesia, Physical examination, Nerve injury, Immediate post-injection reaction

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:
Other Medications: None
Current Illness: none
Preexisting Conditions: none
Allergies: none none
Diagnostic Lab Data: After scheduling an appt with my Dr, the office advised me to go to the ER. I went the day she advised me on 4/13. There the ER DR believes some how my ulnar nerve in my left arm was effected by the vaccine, which is causing the pain in my elbow, down the arm to my palm and two fingers. I now have a follow with my DR on 4/23.
CDC 'Split Type':

Write-up: Immediately after receiving the vaccine I felt burning at the site and shoulder that went away after a few minutes. My left arm was tingling , this lasted the rest of the night. The next day i experienced numbness/tingling and dull aching pain in my elbow, down my arm to my palm and two fingers (middle and ring). This has been intermittent for a week now, really effecting me while i drive and work as a travel nurse.


Changed on 5/14/2021

VAERS ID: 1213981 Before After
VAERS Form:2
Age:29.0
Sex:Female
Location:Illinois
Vaccinated:2021-04-07
Onset:2021-04-08
Submitted:0000-00-00
Entered:2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Hypoaesthesia, Injection site pain, Pain in extremity, Paraesthesia, Physical examination, Nerve injury, Immediate post-injection reaction

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:
Other Medications: None
Current Illness: none
Preexisting Conditions: none
Allergies: none none
Diagnostic Lab Data: After scheduling an appt with my Dr, the office advised me to go to the ER. I went the day she advised me on 4/13. There the ER DR believes some how my ulnar nerve in my left arm was effected by the vaccine, which is causing the pain in my elbow, down the arm to my palm and two fingers. I now have a follow with my DR on 4/23.
CDC 'Split Type':

Write-up: Immediately after receiving the vaccine I felt burning at the site and shoulder that went away after a few minutes. My left arm was tingling , this lasted the rest of the night. The next day i experienced numbness/tingling and dull aching pain in my elbow, down my arm to my palm and two fingers (middle and ring). This has been intermittent for a week now, really effecting me while i drive and work as a travel nurse.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1213981&WAYBACKHISTORY=ON

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