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This is VAERS ID 1230142

History of Changes from the VAERS Wayback Machine

First Appeared on 4/23/2021

VAERS ID: 1230142
VAERS Form:2
Age:57.0
Sex:Female
Location:California
Vaccinated:2021-04-11
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / 1 LA / SYR

Administered by: Pharmacy      Purchased by: ??
Symptoms: Dizziness, Fatigue, Headache, Hyperhidrosis, Injection site erythema, Injection site pain, Local reaction, Migraine, Neuralgia, Pain, Paraesthesia, Pyrexia, Ultrasound scan, Urinary tract infection, Urine analysis, Injection site swelling, Injection site discomfort, Limb discomfort, Blood test, Adverse reaction, Magnetic resonance imaging, Magnetic resonance imaging head

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Estradiol.05, Progesterone 100mg, magnesium, zinc, Vit D, mult
Current Illness: no
Preexisting Conditions: no
Allergies: none
Diagnostic Lab Data: ultra sound on arm - result negative for blood clot. 3 days later, ER did blood, urine and MRI on brain and veins and no clot but did have a UTI without any symptoms.
CDC 'Split Type':

Write-up: 5 minutes after injection my forearm and hand began to tingle and have pressure, nerve type pain. No breathing issues so was sent home. Reported the continued arm pain the next day to the doctor and she ordered an ultrasound. Report negative on blood arm clot. Got a fever, body aches, headache, tired, triggered a migraine per doctor, localized reaction of 2 3/4" at injection site with redness, swelling, pain. Almost passed out at a store - Became dizzy, tingling hands and sweating and taken to ER by ambulance. ER ruled out blood clot but found I had a UTI without any symptoms-prescribed an antibiotic. Contiue to have minor headache and minor discomfort at injection site. Awful experience and adverse reactions!


Changed on 5/7/2021

VAERS ID: 1230142 Before After
VAERS Form:2
Age:57.0
Sex:Female
Location:California
Vaccinated:2021-04-11
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / 1 LA / SYR

Administered by: Pharmacy      Purchased by: ??
Symptoms: Dizziness, Fatigue, Headache, Hyperhidrosis, Injection site erythema, Injection site pain, Local reaction, Migraine, Neuralgia, Pain, Paraesthesia, Pyrexia, Ultrasound scan, Urinary tract infection, Urine analysis, Injection site swelling, Injection site discomfort, Limb discomfort, Blood test, Adverse reaction, Magnetic resonance imaging, Magnetic resonance imaging head

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Estradiol.05, Progesterone 100mg, magnesium, zinc, Vit D, mult
Current Illness: no
Preexisting Conditions: no
Allergies: none none
Diagnostic Lab Data: ultra sound on arm - result negative for blood clot. 3 days later, ER did blood, urine and MRI on brain and veins and no clot but did have a UTI without any symptoms.
CDC 'Split Type':

Write-up: 5 minutes after injection my forearm and hand began to tingle and have pressure, nerve type pain. No breathing issues so was sent home. Reported the continued arm pain the next day to the doctor and she ordered an ultrasound. Report negative on blood arm clot. Got a fever, body aches, headache, tired, triggered a migraine per doctor, localized reaction of 2 3/4" at injection site with redness, swelling, pain. Almost passed out at a store - Became dizzy, tingling hands and sweating and taken to ER by ambulance. ER ruled out blood clot but found I had a UTI without any symptoms-prescribed an antibiotic. Contiue to have minor headache and minor discomfort at injection site. Awful experience and adverse reactions!


Changed on 5/14/2021

VAERS ID: 1230142 Before After
VAERS Form:2
Age:57.0
Sex:Female
Location:California
Vaccinated:2021-04-11
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / 1 LA / SYR

Administered by: Pharmacy      Purchased by: ??
Symptoms: Dizziness, Fatigue, Headache, Hyperhidrosis, Injection site erythema, Injection site pain, Local reaction, Migraine, Neuralgia, Pain, Paraesthesia, Pyrexia, Ultrasound scan, Urinary tract infection, Urine analysis, Injection site swelling, Injection site discomfort, Limb discomfort, Blood test, Adverse reaction, Magnetic resonance imaging, Magnetic resonance imaging head

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Estradiol.05, Progesterone 100mg, magnesium, zinc, Vit D, mult
Current Illness: no
Preexisting Conditions: no
Allergies: none none
Diagnostic Lab Data: ultra sound on arm - result negative for blood clot. 3 days later, ER did blood, urine and MRI on brain and veins and no clot but did have a UTI without any symptoms.
CDC 'Split Type':

Write-up: 5 minutes after injection my forearm and hand began to tingle and have pressure, nerve type pain. No breathing issues so was sent home. Reported the continued arm pain the next day to the doctor and she ordered an ultrasound. Report negative on blood arm clot. Got a fever, body aches, headache, tired, triggered a migraine per doctor, localized reaction of 2 3/4" at injection site with redness, swelling, pain. Almost passed out at a store - Became dizzy, tingling hands and sweating and taken to ER by ambulance. ER ruled out blood clot but found I had a UTI without any symptoms-prescribed an antibiotic. Contiue to have minor headache and minor discomfort at injection site. Awful experience and adverse reactions!

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