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This is VAERS ID 1221027

History of Changes from the VAERS Wayback Machine

First Appeared on 4/23/2021

VAERS ID: 1221027
VAERS Form:2
Age:58.0
Sex:Female
Location:Michigan
Vaccinated:2021-04-05
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: Chest pain, Cough, Full blood count, Migraine, Pain, Vertigo, Visual impairment, Inflammatory marker test

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: Armour Thyroid 90 mg; prometrium 200 mg, Valganciclovir 450 mg 2x''s daily, HyQvia 25 grams sub cutaneous every 3 weeks. Missed 2 infusions due to health insurance. Infused 4-01-21
Current Illness: CVID
Preexisting Conditions: CVID, mycoplasma fermentans
Allergies: Ilosone, chlorahexadine
Diagnostic Lab Data: inflammatory markers, CBC, sedimentation
CDC 'Split Type':

Write-up: Worst migraine ever continuing even into 4-16-21 (today), vertigo, chest pain, cough, severe body aches, vison problems


Changed on 5/7/2021

VAERS ID: 1221027 Before After
VAERS Form:2
Age:58.0
Sex:Female
Location:Michigan
Vaccinated:2021-04-05
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: Chest pain, Cough, Full blood count, Migraine, Pain, Vertigo, Visual impairment, Inflammatory marker test

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: Armour Thyroid 90 mg; prometrium 200 mg, Valganciclovir 450 mg 2x''s daily, HyQvia 25 grams sub cutaneous every 3 weeks. Missed 2 infusions due to health insurance. Infused 4-01-21
Current Illness: CVID
Preexisting Conditions: CVID, mycoplasma fermentans
Allergies: Ilosone, chlorahexadine chlorahexadine
Diagnostic Lab Data: inflammatory markers, CBC, sedimentation
CDC 'Split Type':

Write-up: Worst migraine ever continuing even into 4-16-21 (today), vertigo, chest pain, cough, severe body aches, vison problems


Changed on 5/14/2021

VAERS ID: 1221027 Before After
VAERS Form:2
Age:58.0
Sex:Female
Location:Michigan
Vaccinated:2021-04-05
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: Chest pain, Cough, Full blood count, Migraine, Pain, Vertigo, Visual impairment, Inflammatory marker test

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: Armour Thyroid 90 mg; prometrium 200 mg, Valganciclovir 450 mg 2x''s daily, HyQvia 25 grams sub cutaneous every 3 weeks. Missed 2 infusions due to health insurance. Infused 4-01-21
Current Illness: CVID
Preexisting Conditions: CVID, mycoplasma fermentans
Allergies: Ilosone, chlorahexadine chlorahexadine
Diagnostic Lab Data: inflammatory markers, CBC, sedimentation
CDC 'Split Type':

Write-up: Worst migraine ever continuing even into 4-16-21 (today), vertigo, chest pain, cough, severe body aches, vison problems

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1221027&WAYBACKHISTORY=ON


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