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This is VAERS ID 1246693

History of Changes from the VAERS Wayback Machine

First Appeared on 4/30/2021

VAERS ID: 1246693
VAERS Form:2
Age:62.0
Sex:Female
Location:Unknown
Vaccinated:2021-03-05
Onset:2021-04-19
Submitted:0000-00-00
Entered:2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: SARS-CoV-2 test positive

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Had Janssen covid vaccine on 3/5/2021. Recent exposure to a positive person, came to clinic for testing and was confirmed to be positive for COVID-19 by PCR test on 4/19/2021


Changed on 5/7/2021

VAERS ID: 1246693 Before After
VAERS Form:2
Age:62.0
Sex:Female
Location:Unknown
Vaccinated:2021-03-05
Onset:2021-04-19
Submitted:0000-00-00
Entered:2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: SARS-CoV-2 test positive

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Had Janssen covid vaccine on 3/5/2021. Recent exposure to a positive person, came to clinic for testing and was confirmed to be positive for COVID-19 by PCR test on 4/19/2021


Changed on 5/14/2021

VAERS ID: 1246693 Before After
VAERS Form:2
Age:62.0
Sex:Female
Location:Unknown
Vaccinated:2021-03-05
Onset:2021-04-19
Submitted:0000-00-00
Entered:2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: SARS-CoV-2 test positive

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Had Janssen covid vaccine on 3/5/2021. Recent exposure to a positive person, came to clinic for testing and was confirmed to be positive for COVID-19 by PCR test on 4/19/2021

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1246693&WAYBACKHISTORY=ON


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