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This is VAERS ID 1242914

History of Changes from the VAERS Wayback Machine

First Appeared on 4/23/2021

VAERS ID: 1242914
VAERS Form:2
Age:55.0
Sex:Female
Location:Wisconsin
Vaccinated:2021-03-12
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: Other      Purchased by: ??
Symptoms: Injection site pain

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: Vitamin B12, B1, C, stool softener, folic acid, fish oil, Omeprazole, Sertraline, Levothyroxin, aspirin
Current Illness: None other than off and on symptoms from COVID - COVID positive was November 2020. Symptoms are headaches and fatigue
Preexisting Conditions: Chronic depression and acid reflux
Allergies: Celexa, Cefdinir/sulfa, amoxicillin, latex tape/band aids
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Pain at injection site - 6 weeks after injection - Other two office workers who received same vaccination 1 day after mine also experienced the same issue


Changed on 5/7/2021

VAERS ID: 1242914 Before After
VAERS Form:2
Age:55.0
Sex:Female
Location:Wisconsin
Vaccinated:2021-03-12
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: Other      Purchased by: ??
Symptoms: Injection site pain

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: Vitamin B12, B1, C, stool softener, folic acid, fish oil, Omeprazole, Sertraline, Levothyroxin, aspirin
Current Illness: None other than off and on symptoms from COVID - COVID positive was November 2020. Symptoms are headaches and fatigue
Preexisting Conditions: Chronic depression and acid reflux
Allergies: Celexa, Cefdinir/sulfa, amoxicillin, latex tape/band aids aids
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Pain at injection site - 6 weeks after injection - Other two office workers who received same vaccination 1 day after mine also experienced the same issue


Changed on 5/14/2021

VAERS ID: 1242914 Before After
VAERS Form:2
Age:55.0
Sex:Female
Location:Wisconsin
Vaccinated:2021-03-12
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: Other      Purchased by: ??
Symptoms: Injection site pain

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: Vitamin B12, B1, C, stool softener, folic acid, fish oil, Omeprazole, Sertraline, Levothyroxin, aspirin
Current Illness: None other than off and on symptoms from COVID - COVID positive was November 2020. Symptoms are headaches and fatigue
Preexisting Conditions: Chronic depression and acid reflux
Allergies: Celexa, Cefdinir/sulfa, amoxicillin, latex tape/band aids aids
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Pain at injection site - 6 weeks after injection - Other two office workers who received same vaccination 1 day after mine also experienced the same issue

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1242914&WAYBACKHISTORY=ON


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