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This is VAERS ID 1221241

History of Changes from the VAERS Wayback Machine

First Appeared on 4/23/2021

VAERS ID: 1221241
VAERS Form:2
Age:41.0
Sex:Male
Location:Maryland
Vaccinated:2021-04-09
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Other      Purchased by: ??
Symptoms: Epistaxis, Headache

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: Vitamin
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Headache but went away. Nose bleeds 3 times so far within 7 days of injection.


Changed on 5/7/2021

VAERS ID: 1221241 Before After
VAERS Form:2
Age:41.0
Sex:Male
Location:Maryland
Vaccinated:2021-04-09
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Other      Purchased by: ??
Symptoms: Epistaxis, Headache

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: Vitamin
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Headache but went away. Nose bleeds 3 times so far within 7 days of injection.


Changed on 5/14/2021

VAERS ID: 1221241 Before After
VAERS Form:2
Age:41.0
Sex:Male
Location:Maryland
Vaccinated:2021-04-09
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Other      Purchased by: ??
Symptoms: Epistaxis, Headache

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: Vitamin
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Headache but went away. Nose bleeds 3 times so far within 7 days of injection.

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1221241&WAYBACKHISTORY=ON


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