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This is VAERS ID 1244852

History of Changes from the VAERS Wayback Machine

First Appeared on 4/23/2021

VAERS ID: 1244852
VAERS Form:2
Age:58.0
Sex:Female
Location:Maryland
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 - / UNK LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Abdominal pain upper, Chills, Fatigue, Headache, Injection site pain, Insomnia, Malaise, Mouth ulceration, Nausea, Pyrexia, Vomiting, Oropharyngeal pain

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: Metoprolol succinate 50mg, Amlodipine 5mg Vitamin D soft gel 1 (125 mcg)
Current Illness: None
Preexisting Conditions: Benign HBP under control with meds
Allergies: Penicillin injection Raw ripe tomatoes Camoquin
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: After vaccination on April 12 had nausea and vomiting, chills and headache, stomachache most of the day. At night had fever, pain at injection site, malaise. Same on day2 but milder and headache. Insomnia Day 3 -7chills at day and night time mild headache, sore throat, insomnia Day 7 nausea, chills and headache, tiredness, sorethroat, insomnia Day 8- 10 chills, mouth sores, tiredness, insomnia On eAch day took antihistamine cetrizine


Changed on 5/7/2021

VAERS ID: 1244852 Before After
VAERS Form:2
Age:58.0
Sex:Female
Location:Maryland
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 - / UNK LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Abdominal pain upper, Chills, Fatigue, Headache, Injection site pain, Insomnia, Malaise, Mouth ulceration, Nausea, Pyrexia, Vomiting, Oropharyngeal pain

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: Metoprolol succinate 50mg, Amlodipine 5mg Vitamin D soft gel 1 (125 mcg)
Current Illness: None
Preexisting Conditions: Benign HBP under control with meds
Allergies: Penicillin injection Raw ripe tomatoes Camoquin Camoquin
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: After vaccination on April 12 had nausea and vomiting, chills and headache, stomachache most of the day. At night had fever, pain at injection site, malaise. Same on day2 but milder and headache. Insomnia Day 3 -7chills at day and night time mild headache, sore throat, insomnia Day 7 nausea, chills and headache, tiredness, sorethroat, insomnia Day 8- 10 chills, mouth sores, tiredness, insomnia On eAch day took antihistamine cetrizine


Changed on 5/14/2021

VAERS ID: 1244852 Before After
VAERS Form:2
Age:58.0
Sex:Female
Location:Maryland
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 - / UNK LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Abdominal pain upper, Chills, Fatigue, Headache, Injection site pain, Insomnia, Malaise, Mouth ulceration, Nausea, Pyrexia, Vomiting, Oropharyngeal pain

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: Metoprolol succinate 50mg, Amlodipine 5mg Vitamin D soft gel 1 (125 mcg)
Current Illness: None
Preexisting Conditions: Benign HBP under control with meds
Allergies: Penicillin injection Raw ripe tomatoes Camoquin Camoquin
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: After vaccination on April 12 had nausea and vomiting, chills and headache, stomachache most of the day. At night had fever, pain at injection site, malaise. Same on day2 but milder and headache. Insomnia Day 3 -7chills at day and night time mild headache, sore throat, insomnia Day 7 nausea, chills and headache, tiredness, sorethroat, insomnia Day 8- 10 chills, mouth sores, tiredness, insomnia On eAch day took antihistamine cetrizine

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