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This is VAERS ID 1240710

History of Changes from the VAERS Wayback Machine

First Appeared on 4/30/2021

VAERS ID: 1240710
VAERS Form:2
Age:49.0
Sex:Female
Location:Missouri
Vaccinated:2021-04-10
Onset:2021-04-19
Submitted:0000-00-00
Entered:2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Pharmacy      Purchased by: ??
Symptoms: Fatigue, Headache, Myalgia, Pain, Tenderness, Contusion

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: Ibuprofen
Current Illness: None
Preexisting Conditions: Reynaud?s, Gerd
Allergies: Vancomycin
Diagnostic Lab Data: N/a
CDC 'Split Type':

Write-up: Severe headaches for the first 5 days, achy and started getting extremely tired around day 5 and I?m still exhausted. Started developing huge bruises on my arms around day 10 after vaccine. Reddish purple dots on a very large bruise on my forearm. Still have bad headache muscle aches middle of back tender, like I have to pop it but can?t. Very sore


Changed on 5/7/2021

VAERS ID: 1240710 Before After
VAERS Form:2
Age:49.0
Sex:Female
Location:Missouri
Vaccinated:2021-04-10
Onset:2021-04-19
Submitted:0000-00-00
Entered:2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Pharmacy      Purchased by: ??
Symptoms: Fatigue, Headache, Myalgia, Pain, Tenderness, Contusion

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: Ibuprofen
Current Illness: None
Preexisting Conditions: Reynaud?s, Gerd
Allergies: Vancomycin Vancomycin
Diagnostic Lab Data: N/a
CDC 'Split Type':

Write-up: Severe headaches for the first 5 days, achy and started getting extremely tired around day 5 and I?m still exhausted. Started developing huge bruises on my arms around day 10 after vaccine. Reddish purple dots on a very large bruise on my forearm. Still have bad headache muscle aches middle of back tender, like I have to pop it but can?t. Very sore


Changed on 5/14/2021

VAERS ID: 1240710 Before After
VAERS Form:2
Age:49.0
Sex:Female
Location:Missouri
Vaccinated:2021-04-10
Onset:2021-04-19
Submitted:0000-00-00
Entered:2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Pharmacy      Purchased by: ??
Symptoms: Fatigue, Headache, Myalgia, Pain, Tenderness, Contusion

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: Ibuprofen
Current Illness: None
Preexisting Conditions: Reynaud?s, Gerd
Allergies: Vancomycin Vancomycin
Diagnostic Lab Data: N/a
CDC 'Split Type':

Write-up: Severe headaches for the first 5 days, achy and started getting extremely tired around day 5 and I?m still exhausted. Started developing huge bruises on my arms around day 10 after vaccine. Reddish purple dots on a very large bruise on my forearm. Still have bad headache muscle aches middle of back tender, like I have to pop it but can?t. Very sore

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1240710&WAYBACKHISTORY=ON


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