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This is VAERS ID 1232978

History of Changes from the VAERS Wayback Machine

First Appeared on 4/23/2021

VAERS ID: 1232978
VAERS Form:2
Age:53.0
Sex:Female
Location:Florida
Vaccinated:2021-04-10
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Chills, Diarrhoea, Dizziness, Lethargy, Migraine, Myalgia, Nausea, Pyrexia, Urinary tract infection, Oropharyngeal 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: No prescription medication - only vitamins.
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 3 days fever, chills, muscle aches & pains, Migraine Headaches, Nausea, Diarrhea, UTI, Dizziness, lethargic, sore throat


Changed on 5/7/2021

VAERS ID: 1232978 Before After
VAERS Form:2
Age:53.0
Sex:Female
Location:Florida
Vaccinated:2021-04-10
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Chills, Diarrhoea, Dizziness, Lethargy, Migraine, Myalgia, Nausea, Pyrexia, Urinary tract infection, Oropharyngeal 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: No prescription medication - only vitamins.
Current Illness: None
Preexisting Conditions: None
Allergies: None None
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 3 days fever, chills, muscle aches & pains, Migraine Headaches, Nausea, Diarrhea, UTI, Dizziness, lethargic, sore throat


Changed on 5/14/2021

VAERS ID: 1232978 Before After
VAERS Form:2
Age:53.0
Sex:Female
Location:Florida
Vaccinated:2021-04-10
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Chills, Diarrhoea, Dizziness, Lethargy, Migraine, Myalgia, Nausea, Pyrexia, Urinary tract infection, Oropharyngeal 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: No prescription medication - only vitamins.
Current Illness: None
Preexisting Conditions: None
Allergies: None None
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 3 days fever, chills, muscle aches & pains, Migraine Headaches, Nausea, Diarrhea, UTI, Dizziness, lethargic, sore throat

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1232978&WAYBACKHISTORY=ON


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