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This is VAERS ID 1219896

History of Changes from the VAERS Wayback Machine

First Appeared on 4/23/2021

VAERS ID: 1219896
VAERS Form:2
Age:22.0
Sex:Female
Location:Ohio
Vaccinated:2021-04-02
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808978 / 1 RA / IM

Administered by: Other      Purchased by: ??
Symptoms: Abdominal pain, Chills, Cough, Dyspnoea, Fatigue, Headache, Pain, Pyrexia, Swelling face, Exercise tolerance decreased, Skin swelling, Scan with contrast, Laboratory test, Pulmonary pain, 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:
Other Medications: tri-lo-marzia, spironolactone, regular calcium/vitamin
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: blood test 4/14 MRI with and without contrast 4/14
CDC 'Split Type':

Write-up: I was achey/fatigued/chilled/feverish the day of, since I got it in the morning, and felt decent the next day. That following Sunday/Monday/Tuesday I had a moderate headache. 4/11 I had a severe headache and started feeling achey in my torso/mid region, especially when I breathed/coughed. 4/12 the headache was more moderate, but the aches were a lot worse, and I felt some mild dull pain in my lung area when I breathed. I woke up 4/13 with a very swollen and puffy face, and the aches are still here. I?m normally very active jogging and in the gym, and I haven?t felt anywhere close to normal - fatigue and aches go hand in hand. 4/14 I had a very swollen face, continued aches and abdominal pain. I went to urgent care 4/14. 4/15 face swelling went down a little, moderate headache, continued aches and abdominal pain. 4/16 (today) face swelling was down more, continued aches and abdominal pain. Fatigue every day and reduced activity levels and work.


Changed on 5/7/2021

VAERS ID: 1219896 Before After
VAERS Form:2
Age:22.0
Sex:Female
Location:Ohio
Vaccinated:2021-04-02
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808978 / 1 RA / IM

Administered by: Other      Purchased by: ??
Symptoms: Abdominal pain, Chills, Cough, Dyspnoea, Fatigue, Headache, Pain, Pyrexia, Swelling face, Exercise tolerance decreased, Skin swelling, Scan with contrast, Laboratory test, Pulmonary pain, 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:
Other Medications: tri-lo-marzia, spironolactone, regular calcium/vitamin
Current Illness: none
Preexisting Conditions: none
Allergies: none none
Diagnostic Lab Data: blood test 4/14 MRI with and without contrast 4/14
CDC 'Split Type':

Write-up: I was achey/fatigued/chilled/feverish the day of, since I got it in the morning, and felt decent the next day. That following Sunday/Monday/Tuesday I had a moderate headache. 4/11 I had a severe headache and started feeling achey in my torso/mid region, especially when I breathed/coughed. 4/12 the headache was more moderate, but the aches were a lot worse, and I felt some mild dull pain in my lung area when I breathed. I woke up 4/13 with a very swollen and puffy face, and the aches are still here. I?m normally very active jogging and in the gym, and I haven?t felt anywhere close to normal - fatigue and aches go hand in hand. 4/14 I had a very swollen face, continued aches and abdominal pain. I went to urgent care 4/14. 4/15 face swelling went down a little, moderate headache, continued aches and abdominal pain. 4/16 (today) face swelling was down more, continued aches and abdominal pain. Fatigue every day and reduced activity levels and work.


Changed on 5/14/2021

VAERS ID: 1219896 Before After
VAERS Form:2
Age:22.0
Sex:Female
Location:Ohio
Vaccinated:2021-04-02
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808978 / 1 RA / IM

Administered by: Other      Purchased by: ??
Symptoms: Abdominal pain, Chills, Cough, Dyspnoea, Fatigue, Headache, Pain, Pyrexia, Swelling face, Exercise tolerance decreased, Skin swelling, Scan with contrast, Laboratory test, Pulmonary pain, 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:
Other Medications: tri-lo-marzia, spironolactone, regular calcium/vitamin
Current Illness: none
Preexisting Conditions: none
Allergies: none none
Diagnostic Lab Data: blood test 4/14 MRI with and without contrast 4/14
CDC 'Split Type':

Write-up: I was achey/fatigued/chilled/feverish the day of, since I got it in the morning, and felt decent the next day. That following Sunday/Monday/Tuesday I had a moderate headache. 4/11 I had a severe headache and started feeling achey in my torso/mid region, especially when I breathed/coughed. 4/12 the headache was more moderate, but the aches were a lot worse, and I felt some mild dull pain in my lung area when I breathed. I woke up 4/13 with a very swollen and puffy face, and the aches are still here. I?m normally very active jogging and in the gym, and I haven?t felt anywhere close to normal - fatigue and aches go hand in hand. 4/14 I had a very swollen face, continued aches and abdominal pain. I went to urgent care 4/14. 4/15 face swelling went down a little, moderate headache, continued aches and abdominal pain. 4/16 (today) face swelling was down more, continued aches and abdominal pain. Fatigue every day and reduced activity levels and work.

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