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This is VAERS ID 1225273

History of Changes from the VAERS Wayback Machine

First Appeared on 4/23/2021

VAERS ID: 1225273
VAERS Form:2
Age:68.0
Sex:Female
Location:New York
Vaccinated:2021-04-09
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808980 / 1 RA / IM

Administered by: Other      Purchased by: ??
Symptoms: Anxiety, Arthralgia, Depression, Dizziness

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: Nothing 12 hours before shot, but I do take a multiple vitamin, Vitamin D and B12.
Current Illness: Crohn''s disease
Preexisting Conditions: Crohn''s disease
Allergies: tetracycline, codeine, sulfa products.
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Worsening depression and anxiety; dizziness; joint pain.


Changed on 5/7/2021

VAERS ID: 1225273 Before After
VAERS Form:2
Age:68.0
Sex:Female
Location:New York
Vaccinated:2021-04-09
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808980 / 1 RA / IM

Administered by: Other      Purchased by: ??
Symptoms: Anxiety, Arthralgia, Depression, Dizziness

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: Nothing 12 hours before shot, but I do take a multiple vitamin, Vitamin D and B12.
Current Illness: Crohn''s disease
Preexisting Conditions: Crohn''s disease
Allergies: tetracycline, codeine, sulfa products. products.
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Worsening depression and anxiety; dizziness; joint pain.


Changed on 5/14/2021

VAERS ID: 1225273 Before After
VAERS Form:2
Age:68.0
Sex:Female
Location:New York
Vaccinated:2021-04-09
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808980 / 1 RA / IM

Administered by: Other      Purchased by: ??
Symptoms: Anxiety, Arthralgia, Depression, Dizziness

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: Nothing 12 hours before shot, but I do take a multiple vitamin, Vitamin D and B12.
Current Illness: Crohn''s disease
Preexisting Conditions: Crohn''s disease
Allergies: tetracycline, codeine, sulfa products. products.
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Worsening depression and anxiety; dizziness; joint pain.

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