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This is VAERS ID 1233276

History of Changes from the VAERS Wayback Machine

First Appeared on 4/23/2021

VAERS ID: 1233276
VAERS Form:2
Age:55.0
Sex:Female
Location:Pennsylvania
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 - / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Dizziness, Headache, Malaise, On and off phenomenon, Pain

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: claritin daily, valtrex prn, Daily multivitamin, glucosamine, vit d, vit e, vit b6, & tumeric supplements
Current Illness: NONE
Preexisting Conditions: Arthritis Myalgia Anxiety
Allergies: bactrim, emycin, protonix, citrus foods/juices
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: -Mild to Moderate headache, mild dizziness on and off, and increased body aches for 4 days following vaccination. -Generally felt ''under the weather'' not quite myself for a full week following vaccination. Gradually starting to feel back to baseline second week post vaccine


Changed on 5/7/2021

VAERS ID: 1233276 Before After
VAERS Form:2
Age:55.0
Sex:Female
Location:Pennsylvania
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 - / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Dizziness, Headache, Malaise, On and off phenomenon, Pain

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: claritin daily, valtrex prn, Daily multivitamin, glucosamine, vit d, vit e, vit b6, & tumeric supplements
Current Illness: NONE
Preexisting Conditions: Arthritis Myalgia Anxiety
Allergies: bactrim, emycin, protonix, citrus foods/juices foods/juices
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: -Mild to Moderate headache, mild dizziness on and off, and increased body aches for 4 days following vaccination. -Generally felt ''under the weather'' not quite myself for a full week following vaccination. Gradually starting to feel back to baseline second week post vaccine


Changed on 5/14/2021

VAERS ID: 1233276 Before After
VAERS Form:2
Age:55.0
Sex:Female
Location:Pennsylvania
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 - / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Dizziness, Headache, Malaise, On and off phenomenon, Pain

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: claritin daily, valtrex prn, Daily multivitamin, glucosamine, vit d, vit e, vit b6, & tumeric supplements
Current Illness: NONE
Preexisting Conditions: Arthritis Myalgia Anxiety
Allergies: bactrim, emycin, protonix, citrus foods/juices foods/juices
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: -Mild to Moderate headache, mild dizziness on and off, and increased body aches for 4 days following vaccination. -Generally felt ''under the weather'' not quite myself for a full week following vaccination. Gradually starting to feel back to baseline second week post vaccine

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1233276&WAYBACKHISTORY=ON


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