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This is VAERS ID 1220530

History of Changes from the VAERS Wayback Machine

First Appeared on 4/23/2021

VAERS ID: 1220530
VAERS Form:2
Age:56.0
Sex:Female
Location:New York
Vaccinated:2021-04-10
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Abdominal discomfort, Abdominal pain upper, Chills, Dyspnoea, Fatigue, Feeling abnormal, Headache, Lethargy, Nausea, Pain, SARS-CoV-2 test

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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: 1). ESTADIOL 0.05mg every day/transdermal patch. 2). NORETHINDRONE 2.5mg once daily. 3). AMBIEN 5-10mg at bedtime. 4). SERTRALINE HCL 100mg once a day. 5). VITAMIN D 125mcg/5000 IU once a day. 6). CQ 10 100 mg once a day. 7). LYSINE 1000 mg
Current Illness: NONE
Preexisting Conditions: NONE
Allergies: NONE
Diagnostic Lab Data: Rapid Covid test at Pharmacy at 5:15 pm on April 16, 2021. No results as of this time
CDC 'Split Type':

Write-up: Severe headache at approximately 3:330 am on Sunday April 11th, took two extra strength excedrin, (day after vaccine). didnt help much. Stomach pain started on Monday 4/12. nausea, felt like I was in a fog, very very tired. Called primary on Tuesday the 13th and was instructed to go to ER. Waited 8 hours and was unable to see MD for another 10 hours due to ER was 20 hours behind. I left and continue to have stomach discomfort, nausea, headache, chills, body aches, shortness of breath on exertion, lethargy, and brain fog.


Changed on 5/7/2021

VAERS ID: 1220530 Before After
VAERS Form:2
Age:56.0
Sex:Female
Location:New York
Vaccinated:2021-04-10
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Abdominal discomfort, Abdominal pain upper, Chills, Dyspnoea, Fatigue, Feeling abnormal, Headache, Lethargy, Nausea, Pain, SARS-CoV-2 test

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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: 1). ESTADIOL 0.05mg every day/transdermal patch. 2). NORETHINDRONE 2.5mg once daily. 3). AMBIEN 5-10mg at bedtime. 4). SERTRALINE HCL 100mg once a day. 5). VITAMIN D 125mcg/5000 IU once a day. 6). CQ 10 100 mg once a day. 7). LYSINE 1000 mg
Current Illness: NONE
Preexisting Conditions: NONE
Allergies: NONE NONE
Diagnostic Lab Data: Rapid Covid test at Pharmacy at 5:15 pm on April 16, 2021. No results as of this time
CDC 'Split Type':

Write-up: Severe headache at approximately 3:330 am on Sunday April 11th, took two extra strength excedrin, (day after vaccine). didnt help much. Stomach pain started on Monday 4/12. nausea, felt like I was in a fog, very very tired. Called primary on Tuesday the 13th and was instructed to go to ER. Waited 8 hours and was unable to see MD for another 10 hours due to ER was 20 hours behind. I left and continue to have stomach discomfort, nausea, headache, chills, body aches, shortness of breath on exertion, lethargy, and brain fog.


Changed on 5/14/2021

VAERS ID: 1220530 Before After
VAERS Form:2
Age:56.0
Sex:Female
Location:New York
Vaccinated:2021-04-10
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Abdominal discomfort, Abdominal pain upper, Chills, Dyspnoea, Fatigue, Feeling abnormal, Headache, Lethargy, Nausea, Pain, SARS-CoV-2 test

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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: 1). ESTADIOL 0.05mg every day/transdermal patch. 2). NORETHINDRONE 2.5mg once daily. 3). AMBIEN 5-10mg at bedtime. 4). SERTRALINE HCL 100mg once a day. 5). VITAMIN D 125mcg/5000 IU once a day. 6). CQ 10 100 mg once a day. 7). LYSINE 1000 mg
Current Illness: NONE
Preexisting Conditions: NONE
Allergies: NONE NONE
Diagnostic Lab Data: Rapid Covid test at Pharmacy at 5:15 pm on April 16, 2021. No results as of this time
CDC 'Split Type':

Write-up: Severe headache at approximately 3:330 am on Sunday April 11th, took two extra strength excedrin, (day after vaccine). didnt help much. Stomach pain started on Monday 4/12. nausea, felt like I was in a fog, very very tired. Called primary on Tuesday the 13th and was instructed to go to ER. Waited 8 hours and was unable to see MD for another 10 hours due to ER was 20 hours behind. I left and continue to have stomach discomfort, nausea, headache, chills, body aches, shortness of breath on exertion, lethargy, and brain fog.

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