National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 1243292

History of Changes from the VAERS Wayback Machine

First Appeared on 4/23/2021

VAERS ID: 1243292
VAERS Form:2
Age:46.0
Sex:Female
Location:Rhode Island
Vaccinated:2021-04-12
Onset:2021-04-12
Submitted:0000-00-00
Entered:2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / 1 RA / UN

Administered by: Pharmacy      Purchased by: ??
Symptoms: Arthralgia, Chills, Fatigue, Injection site pain, Muscle spasms, Pain, Pain in extremity, 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: hydrochlorothiazide, theralogix, vitamin D, singulair, zyrtec, mulit-vitamin
Current Illness: none
Preexisting Conditions: hypocalciuria caused kidney stones (currently controlled with hydrochlorthiazide, theralogix, and vitamin D)
Allergies: sulfa drugs, sulfa trimeth, shellfish (shrimp, lobster)
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: fever (up to 101.8 degrees), body aches, and chills for 24 hours after vaccine fatigue, pain at site of injection, and pain in underarm radiating through to shoulder blade for 6 days after injection muscle spasms in shoulder and chest on side of injection, 9 days after injection called doctors office once to see if I could take pain medication for aches, and they said yes. have not called since


Changed on 5/7/2021

VAERS ID: 1243292 Before After
VAERS Form:2
Age:46.0
Sex:Female
Location:Rhode Island
Vaccinated:2021-04-12
Onset:2021-04-12
Submitted:0000-00-00
Entered:2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / 1 RA / UN

Administered by: Pharmacy      Purchased by: ??
Symptoms: Arthralgia, Chills, Fatigue, Injection site pain, Muscle spasms, Pain, Pain in extremity, 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: hydrochlorothiazide, theralogix, vitamin D, singulair, zyrtec, mulit-vitamin
Current Illness: none
Preexisting Conditions: hypocalciuria caused kidney stones (currently controlled with hydrochlorthiazide, theralogix, and vitamin D)
Allergies: sulfa drugs, sulfa trimeth, shellfish (shrimp, lobster) lobster)
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: fever (up to 101.8 degrees), body aches, and chills for 24 hours after vaccine fatigue, pain at site of injection, and pain in underarm radiating through to shoulder blade for 6 days after injection muscle spasms in shoulder and chest on side of injection, 9 days after injection called doctors office once to see if I could take pain medication for aches, and they said yes. have not called since


Changed on 5/14/2021

VAERS ID: 1243292 Before After
VAERS Form:2
Age:46.0
Sex:Female
Location:Rhode Island
Vaccinated:2021-04-12
Onset:2021-04-12
Submitted:0000-00-00
Entered:2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / 1 RA / UN

Administered by: Pharmacy      Purchased by: ??
Symptoms: Arthralgia, Chills, Fatigue, Injection site pain, Muscle spasms, Pain, Pain in extremity, 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: hydrochlorothiazide, theralogix, vitamin D, singulair, zyrtec, mulit-vitamin
Current Illness: none
Preexisting Conditions: hypocalciuria caused kidney stones (currently controlled with hydrochlorthiazide, theralogix, and vitamin D)
Allergies: sulfa drugs, sulfa trimeth, shellfish (shrimp, lobster) lobster)
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: fever (up to 101.8 degrees), body aches, and chills for 24 hours after vaccine fatigue, pain at site of injection, and pain in underarm radiating through to shoulder blade for 6 days after injection muscle spasms in shoulder and chest on side of injection, 9 days after injection called doctors office once to see if I could take pain medication for aches, and they said yes. have not called since

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1243292&WAYBACKHISTORY=ON


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