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This is VAERS ID 1235860

History of Changes from the VAERS Wayback Machine

First Appeared on 4/23/2021

VAERS ID: 1235860
VAERS Form:2
Age:47.0
Sex:Male
Location:Florida
Vaccinated:2021-04-12
Onset:2021-04-19
Submitted:0000-00-00
Entered:2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 LA / SYR

Administered by: Pharmacy      Purchased by: ??
Symptoms: Fatigue, Feeling hot, Paraesthesia, Pyrexia

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: amlodipine besylate 10 mg multivitamins
Current Illness: High Blood Pressure
Preexisting Conditions: High Blood Pressure
Allergies: NONE
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 7 DAYS AFTER THE SHOT (APRIL 12TH 2021, THERE ARE HOT TINGLY AND PRICKLY SENSATION ALL OVER (AND STILL HAS THIS SIDE EFFECT ON APRIL 21ST 2021) 2ND AND 3RD DAY, HAD FEVER AND FATIGUE BUT WENT AWAY ON THE 4TH DAY


Changed on 5/7/2021

VAERS ID: 1235860 Before After
VAERS Form:2
Age:47.0
Sex:Male
Location:Florida
Vaccinated:2021-04-12
Onset:2021-04-19
Submitted:0000-00-00
Entered:2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 LA / SYR

Administered by: Pharmacy      Purchased by: ??
Symptoms: Fatigue, Feeling hot, Paraesthesia, Pyrexia

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: amlodipine besylate 10 mg multivitamins
Current Illness: High Blood Pressure
Preexisting Conditions: High Blood Pressure
Allergies: NONE NONE
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 7 DAYS AFTER THE SHOT (APRIL 12TH 2021, THERE ARE HOT TINGLY AND PRICKLY SENSATION ALL OVER (AND STILL HAS THIS SIDE EFFECT ON APRIL 21ST 2021) 2ND AND 3RD DAY, HAD FEVER AND FATIGUE BUT WENT AWAY ON THE 4TH DAY


Changed on 5/14/2021

VAERS ID: 1235860 Before After
VAERS Form:2
Age:47.0
Sex:Male
Location:Florida
Vaccinated:2021-04-12
Onset:2021-04-19
Submitted:0000-00-00
Entered:2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 LA / SYR

Administered by: Pharmacy      Purchased by: ??
Symptoms: Fatigue, Feeling hot, Paraesthesia, Pyrexia

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: amlodipine besylate 10 mg multivitamins
Current Illness: High Blood Pressure
Preexisting Conditions: High Blood Pressure
Allergies: NONE NONE
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 7 DAYS AFTER THE SHOT (APRIL 12TH 2021, THERE ARE HOT TINGLY AND PRICKLY SENSATION ALL OVER (AND STILL HAS THIS SIDE EFFECT ON APRIL 21ST 2021) 2ND AND 3RD DAY, HAD FEVER AND FATIGUE BUT WENT AWAY ON THE 4TH DAY

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1235860&WAYBACKHISTORY=ON


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