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This is VAERS ID 1242793

History of Changes from the VAERS Wayback Machine

First Appeared on 4/30/2021

VAERS ID: 1242793
VAERS Form:2
Age:61.0
Sex:Female
Location:Minnesota
Vaccinated:2021-03-09
Onset:2021-04-21
Submitted:0000-00-00
Entered:2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805022 / 1 LA / IM

Administered by: Unknown      Purchased by: ??
Symptoms: Blood glucose increased, Nausea, Decreased appetite, COVID-19, SARS-CoV-2 test positive

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: DM 2, HTN, UTIs, hyperlipidemia
Allergies:
Diagnostic Lab Data: Positive SARS-CoV-2 by PCR from specimen collected 4/21/2021
CDC 'Split Type':

Write-up: Admitted with high blood glucose, intermittent nausea, decreased appetite. Subsequently found to be COVID1-9 positive. $g14 days post vaccine completion.


Changed on 5/7/2021

VAERS ID: 1242793 Before After
VAERS Form:2
Age:61.0
Sex:Female
Location:Minnesota
Vaccinated:2021-03-09
Onset:2021-04-21
Submitted:0000-00-00
Entered:2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805022 / 1 LA / IM

Administered by: Unknown      Purchased by: ??
Symptoms: Blood glucose increased, Nausea, Decreased appetite, COVID-19, SARS-CoV-2 test positive

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: DM 2, HTN, UTIs, hyperlipidemia
Allergies:
Diagnostic Lab Data: Positive SARS-CoV-2 by PCR from specimen collected 4/21/2021
CDC 'Split Type':

Write-up: Admitted with high blood glucose, intermittent nausea, decreased appetite. Subsequently found to be COVID1-9 positive. $g14 days post vaccine completion.


Changed on 5/14/2021

VAERS ID: 1242793 Before After
VAERS Form:2
Age:61.0
Sex:Female
Location:Minnesota
Vaccinated:2021-03-09
Onset:2021-04-21
Submitted:0000-00-00
Entered:2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805022 / 1 LA / IM

Administered by: Unknown      Purchased by: ??
Symptoms: Blood glucose increased, Nausea, Decreased appetite, COVID-19, SARS-CoV-2 test positive

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: DM 2, HTN, UTIs, hyperlipidemia
Allergies:
Diagnostic Lab Data: Positive SARS-CoV-2 by PCR from specimen collected 4/21/2021
CDC 'Split Type':

Write-up: Admitted with high blood glucose, intermittent nausea, decreased appetite. Subsequently found to be COVID1-9 positive. $g14 days post vaccine completion.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1242793&WAYBACKHISTORY=ON


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