National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 1241804

History of Changes from the VAERS Wayback Machine

First Appeared on 4/23/2021

VAERS ID: 1241804
VAERS Form:2
Age:51.0
Sex:Female
Location:Illinois
Vaccinated:2021-04-12
Onset:2021-04-19
Submitted:0000-00-00
Entered:2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805025 / 1 LA / SYR

Administered by: Public      Purchased by: ??
Symptoms: Burning sensation, Chills, Hypersensitivity, Miliaria, Muscular weakness, Paraesthesia, Pruritus, Pyrexia, Rash macular, Skin warm, Peripheral swelling, Blood test, Immediate post-injection reaction

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: biotin
Current Illness: sinus congestion 3 weeks prior, fully recovered at the time of
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: Blood work.
CDC 'Split Type':

Write-up: Immediately felt weakness in arm/hand of injection with tingling in hand. Minutes later tingling in left foot. Tingling continues to occur but less frequently. Early morning the next day (4/13) had chills and fever. Fever continued through early afternoon. On 4/19 both feet felt like they were on fire and the soles itched like crazy. Went away after an hour. Around 5:30 am red spots appeared on the bottoms of feet which were very warm. This went away. Throughout the day I had red spots on my feet and legs that would be red, warm, and some itchy that would come and go. My thighs had spots that appeared to be heat rash. At 7:30 pm areas on feet were bright red, warm and slightly swollen.Diagnosed with allergic


Changed on 5/7/2021

VAERS ID: 1241804 Before After
VAERS Form:2
Age:51.0
Sex:Female
Location:Illinois
Vaccinated:2021-04-12
Onset:2021-04-19
Submitted:0000-00-00
Entered:2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805025 / 1 LA / SYR

Administered by: Public      Purchased by: ??
Symptoms: Burning sensation, Chills, Hypersensitivity, Miliaria, Muscular weakness, Paraesthesia, Pruritus, Pyrexia, Rash macular, Skin warm, Peripheral swelling, Blood test, Immediate post-injection reaction

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: biotin
Current Illness: sinus congestion 3 weeks prior, fully recovered at the time of
Preexisting Conditions: none
Allergies: none none
Diagnostic Lab Data: Blood work.
CDC 'Split Type':

Write-up: Immediately felt weakness in arm/hand of injection with tingling in hand. Minutes later tingling in left foot. Tingling continues to occur but less frequently. Early morning the next day (4/13) had chills and fever. Fever continued through early afternoon. On 4/19 both feet felt like they were on fire and the soles itched like crazy. Went away after an hour. Around 5:30 am red spots appeared on the bottoms of feet which were very warm. This went away. Throughout the day I had red spots on my feet and legs that would be red, warm, and some itchy that would come and go. My thighs had spots that appeared to be heat rash. At 7:30 pm areas on feet were bright red, warm and slightly swollen.Diagnosed with allergic


Changed on 5/14/2021

VAERS ID: 1241804 Before After
VAERS Form:2
Age:51.0
Sex:Female
Location:Illinois
Vaccinated:2021-04-12
Onset:2021-04-19
Submitted:0000-00-00
Entered:2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805025 / 1 LA / SYR

Administered by: Public      Purchased by: ??
Symptoms: Burning sensation, Chills, Hypersensitivity, Miliaria, Muscular weakness, Paraesthesia, Pruritus, Pyrexia, Rash macular, Skin warm, Peripheral swelling, Blood test, Immediate post-injection reaction

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: biotin
Current Illness: sinus congestion 3 weeks prior, fully recovered at the time of
Preexisting Conditions: none
Allergies: none none
Diagnostic Lab Data: Blood work.
CDC 'Split Type':

Write-up: Immediately felt weakness in arm/hand of injection with tingling in hand. Minutes later tingling in left foot. Tingling continues to occur but less frequently. Early morning the next day (4/13) had chills and fever. Fever continued through early afternoon. On 4/19 both feet felt like they were on fire and the soles itched like crazy. Went away after an hour. Around 5:30 am red spots appeared on the bottoms of feet which were very warm. This went away. Throughout the day I had red spots on my feet and legs that would be red, warm, and some itchy that would come and go. My thighs had spots that appeared to be heat rash. At 7:30 pm areas on feet were bright red, warm and slightly swollen.Diagnosed with allergic

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1241804&WAYBACKHISTORY=ON


Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166