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This is VAERS ID 1223910

History of Changes from the VAERS Wayback Machine

First Appeared on 4/23/2021

VAERS ID: 1223910
VAERS Form:2
Age:43.0
Sex:Female
Location:Texas
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 - / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Asthma, Burning sensation, Chills, Pain in extremity, Pyrexia, Sinusitis, Oropharyngeal discomfort

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 C and D
Current Illness: None
Preexisting Conditions: Asthma
Allergies: NA
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Initial burning and pain left arm that subsided- try local chills/fever etc. But about four days after: severe throat ache, Full sinus infection and full asthma attack episodes. Lack of air


Changed on 5/7/2021

VAERS ID: 1223910 Before After
VAERS Form:2
Age:43.0
Sex:Female
Location:Texas
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 - / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Asthma, Burning sensation, Chills, Pain in extremity, Pyrexia, Sinusitis, Oropharyngeal discomfort

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 C and D
Current Illness: None
Preexisting Conditions: Asthma
Allergies: NA NA
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Initial burning and pain left arm that subsided- try local chills/fever etc. But about four days after: severe throat ache, Full sinus infection and full asthma attack episodes. Lack of air


Changed on 5/14/2021

VAERS ID: 1223910 Before After
VAERS Form:2
Age:43.0
Sex:Female
Location:Texas
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 - / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Asthma, Burning sensation, Chills, Pain in extremity, Pyrexia, Sinusitis, Oropharyngeal discomfort

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 C and D
Current Illness: None
Preexisting Conditions: Asthma
Allergies: NA NA
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Initial burning and pain left arm that subsided- try local chills/fever etc. But about four days after: severe throat ache, Full sinus infection and full asthma attack episodes. Lack of air

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1223910&WAYBACKHISTORY=ON


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