National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 1221384

History of Changes from the VAERS Wayback Machine

First Appeared on 4/23/2021

VAERS ID: 1221384
VAERS Form:2
Age:20.0
Sex:Female
Location:Wisconsin
Vaccinated:2021-04-11
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 LA / IM

Administered by: Public      Purchased by: ??
Symptoms: Body temperature increased, Chills, Fatigue, Headache, Migraine, Myalgia, Nausea, Pain, Photophobia, Pyrexia, Sleep disorder, Telangiectasia, Tenderness, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Bupropion, Nuvaring, Ibuprofen
Current Illness: N/A
Preexisting Conditions: Depression
Allergies: N/A
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Starting less than 12 hours from the injection, the adverse effects started with a bad headache and light sensitivity. Within an hour the adverse effects evolves to severe chills, fever, body aches, fatigue and nausea. A few hours later all symptoms continued and worsened. Fever spiked to 102, nausea turned to vomiting, chills made the skin hurt from any touch/pressure, muscles aches made pain continually radiate all throughout the body, headache turned to a migraine. Symptoms persisted throughout the night and into the next day resulting in no sleep. The following day ibuprofen was able to manage symptoms enough where patient was able to sleep. Fever decreased, but chills, headache, fatigue, and vomiting continued. Patient was forcefully vomiting bile after not being able to keep anything down. Patient broke capillaries across the face. Extreme tiredness pursued, but symptoms dwindled over the course of three days.


Changed on 5/7/2021

VAERS ID: 1221384 Before After
VAERS Form:2
Age:20.0
Sex:Female
Location:Wisconsin
Vaccinated:2021-04-11
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 LA / IM

Administered by: Public      Purchased by: ??
Symptoms: Body temperature increased, Chills, Fatigue, Headache, Migraine, Myalgia, Nausea, Pain, Photophobia, Pyrexia, Sleep disorder, Telangiectasia, Tenderness, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Bupropion, Nuvaring, Ibuprofen
Current Illness: N/A
Preexisting Conditions: Depression
Allergies: N/A N/A
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Starting less than 12 hours from the injection, the adverse effects started with a bad headache and light sensitivity. Within an hour the adverse effects evolves to severe chills, fever, body aches, fatigue and nausea. A few hours later all symptoms continued and worsened. Fever spiked to 102, nausea turned to vomiting, chills made the skin hurt from any touch/pressure, muscles aches made pain continually radiate all throughout the body, headache turned to a migraine. Symptoms persisted throughout the night and into the next day resulting in no sleep. The following day ibuprofen was able to manage symptoms enough where patient was able to sleep. Fever decreased, but chills, headache, fatigue, and vomiting continued. Patient was forcefully vomiting bile after not being able to keep anything down. Patient broke capillaries across the face. Extreme tiredness pursued, but symptoms dwindled over the course of three days.


Changed on 5/14/2021

VAERS ID: 1221384 Before After
VAERS Form:2
Age:20.0
Sex:Female
Location:Wisconsin
Vaccinated:2021-04-11
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 LA / IM

Administered by: Public      Purchased by: ??
Symptoms: Body temperature increased, Chills, Fatigue, Headache, Migraine, Myalgia, Nausea, Pain, Photophobia, Pyrexia, Sleep disorder, Telangiectasia, Tenderness, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Bupropion, Nuvaring, Ibuprofen
Current Illness: N/A
Preexisting Conditions: Depression
Allergies: N/A N/A
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Starting less than 12 hours from the injection, the adverse effects started with a bad headache and light sensitivity. Within an hour the adverse effects evolves to severe chills, fever, body aches, fatigue and nausea. A few hours later all symptoms continued and worsened. Fever spiked to 102, nausea turned to vomiting, chills made the skin hurt from any touch/pressure, muscles aches made pain continually radiate all throughout the body, headache turned to a migraine. Symptoms persisted throughout the night and into the next day resulting in no sleep. The following day ibuprofen was able to manage symptoms enough where patient was able to sleep. Fever decreased, but chills, headache, fatigue, and vomiting continued. Patient was forcefully vomiting bile after not being able to keep anything down. Patient broke capillaries across the face. Extreme tiredness pursued, but symptoms dwindled over the course of three days.

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1221384&WAYBACKHISTORY=ON


Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166