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This is VAERS ID 1223877

History of Changes from the VAERS Wayback Machine

First Appeared on 4/23/2021

VAERS ID: 1223877
VAERS Form:2
Age:54.0
Sex:Male
Location:Massachusetts
Vaccinated:2021-04-10
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 RA / IM

Administered by: Other      Purchased by: ??
Symptoms: Body temperature increased, Chills, Headache, Pain

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: Claritin, Vitamin D, Flonase
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Woke up in the middle of the night with headache, chills, bodyaches. Spiked a temperature later in the day of 100 degrees Fahrenheit. Symptoms lasted 36 hours. I had Covid at the end of December 2020 and these were the same symptoms I had.


Changed on 5/7/2021

VAERS ID: 1223877 Before After
VAERS Form:2
Age:54.0
Sex:Male
Location:Massachusetts
Vaccinated:2021-04-10
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 RA / IM

Administered by: Other      Purchased by: ??
Symptoms: Body temperature increased, Chills, Headache, Pain

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: Claritin, Vitamin D, Flonase
Current Illness: None
Preexisting Conditions: None
Allergies: None None
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Woke up in the middle of the night with headache, chills, bodyaches. Spiked a temperature later in the day of 100 degrees Fahrenheit. Symptoms lasted 36 hours. I had Covid at the end of December 2020 and these were the same symptoms I had.


Changed on 5/14/2021

VAERS ID: 1223877 Before After
VAERS Form:2
Age:54.0
Sex:Male
Location:Massachusetts
Vaccinated:2021-04-10
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 RA / IM

Administered by: Other      Purchased by: ??
Symptoms: Body temperature increased, Chills, Headache, Pain

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: Claritin, Vitamin D, Flonase
Current Illness: None
Preexisting Conditions: None
Allergies: None None
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Woke up in the middle of the night with headache, chills, bodyaches. Spiked a temperature later in the day of 100 degrees Fahrenheit. Symptoms lasted 36 hours. I had Covid at the end of December 2020 and these were the same symptoms I had.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1223877&WAYBACKHISTORY=ON


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