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This is VAERS ID 1244232

History of Changes from the VAERS Wayback Machine

First Appeared on 4/23/2021

VAERS ID: 1244232
VAERS Form:2
Age:45.0
Sex:Female
Location:Michigan
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 203A21A / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Abdominal pain, Pain in extremity, Pruritus, Swelling face, Peripheral swelling, Mouth swelling, Pharyngeal swelling

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: none patient told us about
Current Illness: none
Preexisting Conditions: none
Allergies: nkma
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: reported feeling itching, abdominal pain, unusual swelling ( inside mouth upper lip and left side of face), swelling of throat, pain on soles of feet and swelling hands on 4/19, she took an antihistamine and symptoms lessened and went away


Changed on 5/7/2021

VAERS ID: 1244232 Before After
VAERS Form:2
Age:45.0
Sex:Female
Location:Michigan
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 203A21A / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Abdominal pain, Pain in extremity, Pruritus, Swelling face, Peripheral swelling, Mouth swelling, Pharyngeal swelling

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: none patient told us about
Current Illness: none
Preexisting Conditions: none
Allergies: nkma nkma
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: reported feeling itching, abdominal pain, unusual swelling ( inside mouth upper lip and left side of face), swelling of throat, pain on soles of feet and swelling hands on 4/19, she took an antihistamine and symptoms lessened and went away


Changed on 5/14/2021

VAERS ID: 1244232 Before After
VAERS Form:2
Age:45.0
Sex:Female
Location:Michigan
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 203A21A / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Abdominal pain, Pain in extremity, Pruritus, Swelling face, Peripheral swelling, Mouth swelling, Pharyngeal swelling

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: none patient told us about
Current Illness: none
Preexisting Conditions: none
Allergies: nkma nkma
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: reported feeling itching, abdominal pain, unusual swelling ( inside mouth upper lip and left side of face), swelling of throat, pain on soles of feet and swelling hands on 4/19, she took an antihistamine and symptoms lessened and went away

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1244232&WAYBACKHISTORY=ON


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