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This is VAERS ID 1233773

History of Changes from the VAERS Wayback Machine

First Appeared on 4/23/2021

VAERS ID: 1233773
VAERS Form:2
Age:21.0
Sex:Female
Location:Illinois
Vaccinated:2021-04-11
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 UN / IM

Administered by: Other      Purchased by: ??
Symptoms: Vomiting

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: Unknown
Current Illness: Unknown
Preexisting Conditions: Unknown
Allergies: Unknown
Diagnostic Lab Data: N/A
CDC 'Split Type':

Write-up: Patient experienced vomiting post vaccination, recovered and released


Changed on 5/7/2021

VAERS ID: 1233773 Before After
VAERS Form:2
Age:21.0
Sex:Female
Location:Illinois
Vaccinated:2021-04-11
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 UN / IM

Administered by: Other      Purchased by: ??
Symptoms: Vomiting

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: Unknown
Current Illness: Unknown
Preexisting Conditions: Unknown
Allergies: Unknown Unknown
Diagnostic Lab Data: N/A
CDC 'Split Type':

Write-up: Patient experienced vomiting post vaccination, recovered and released


Changed on 5/14/2021

VAERS ID: 1233773 Before After
VAERS Form:2
Age:21.0
Sex:Female
Location:Illinois
Vaccinated:2021-04-11
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 UN / IM

Administered by: Other      Purchased by: ??
Symptoms: Vomiting

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: Unknown
Current Illness: Unknown
Preexisting Conditions: Unknown
Allergies: Unknown Unknown
Diagnostic Lab Data: N/A
CDC 'Split Type':

Write-up: Patient experienced vomiting post vaccination, recovered and released

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1233773&WAYBACKHISTORY=ON


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