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This is VAERS ID 1221013

History of Changes from the VAERS Wayback Machine

First Appeared on 4/23/2021

VAERS ID: 1221013
VAERS Form:2
Age:45.0
Sex:Male
Location:Texas
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 - / UNK - / -

Administered by: Pharmacy      Purchased by: ??
Symptoms: Asthenia, Fatigue, Headache, Influenza like illness, Somnolence

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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: Tree nut allergies
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Constant headache, and I never get headaches. Flu-like symptoms, general weakness, fatigue and feeling sleepy all day.


Changed on 5/7/2021

VAERS ID: 1221013 Before After
VAERS Form:2
Age:45.0
Sex:Male
Location:Texas
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 - / UNK - / -

Administered by: Pharmacy      Purchased by: ??
Symptoms: Asthenia, Fatigue, Headache, Influenza like illness, Somnolence

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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: Tree nut allergies allergies
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Constant headache, and I never get headaches. Flu-like symptoms, general weakness, fatigue and feeling sleepy all day.


Changed on 5/14/2021

VAERS ID: 1221013 Before After
VAERS Form:2
Age:45.0
Sex:Male
Location:Texas
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 - / UNK - / -

Administered by: Pharmacy      Purchased by: ??
Symptoms: Asthenia, Fatigue, Headache, Influenza like illness, Somnolence

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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: Tree nut allergies allergies
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Constant headache, and I never get headaches. Flu-like symptoms, general weakness, fatigue and feeling sleepy all day.

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