National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 1246599

History of Changes from the VAERS Wayback Machine

First Appeared on 4/30/2021

VAERS ID: 1246599
VAERS Form:2
Age:38.0
Sex:Female
Location:Texas
Vaccinated:2021-04-12
Onset:2021-04-12
Submitted:0000-00-00
Entered:2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / SYR

Administered by: Pharmacy      Purchased by: ??
Symptoms: Chills, Cold sweat, Dizziness, Headache, Injection site pain, Pain, 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: None
Current Illness: None
Preexisting Conditions: Hypertension
Allergies: Ceclor
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Local pain at injection site laster about 4 days. Severe headache, fever of 102F, nausea, chills, body aches, cold sweats for 36 hours post injection. Still current multiple episodes of dizziness daily. Took tylenol for first 24hrs to reduce fever.


Changed on 5/7/2021

VAERS ID: 1246599 Before After
VAERS Form:2
Age:38.0
Sex:Female
Location:Texas
Vaccinated:2021-04-12
Onset:2021-04-12
Submitted:0000-00-00
Entered:2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / SYR

Administered by: Pharmacy      Purchased by: ??
Symptoms: Chills, Cold sweat, Dizziness, Headache, Injection site pain, Pain, 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: None
Current Illness: None
Preexisting Conditions: Hypertension
Allergies: Ceclor Ceclor
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Local pain at injection site laster about 4 days. Severe headache, fever of 102F, nausea, chills, body aches, cold sweats for 36 hours post injection. Still current multiple episodes of dizziness daily. Took tylenol for first 24hrs to reduce fever.


Changed on 5/14/2021

VAERS ID: 1246599 Before After
VAERS Form:2
Age:38.0
Sex:Female
Location:Texas
Vaccinated:2021-04-12
Onset:2021-04-12
Submitted:0000-00-00
Entered:2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / SYR

Administered by: Pharmacy      Purchased by: ??
Symptoms: Chills, Cold sweat, Dizziness, Headache, Injection site pain, Pain, 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: None
Current Illness: None
Preexisting Conditions: Hypertension
Allergies: Ceclor Ceclor
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Local pain at injection site laster about 4 days. Severe headache, fever of 102F, nausea, chills, body aches, cold sweats for 36 hours post injection. Still current multiple episodes of dizziness daily. Took tylenol for first 24hrs to reduce fever.

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1246599&WAYBACKHISTORY=ON


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