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This is VAERS ID 1247261

History of Changes from the VAERS Wayback Machine

First Appeared on 4/30/2021

VAERS ID: 1247261
VAERS Form:2
Age:47.0
Sex:Female
Location:North Carolina
Vaccinated:2021-04-11
Onset:2021-04-19
Submitted:0000-00-00
Entered:2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Pharmacy      Purchased by: ??
Symptoms: Injection site reaction, Injection site warmth, Injection site swelling

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: Multivitamin daily
Current Illness: No e
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Skin reaction at injection site, swollen and hot to the touch


Changed on 5/7/2021

VAERS ID: 1247261 Before After
VAERS Form:2
Age:47.0
Sex:Female
Location:North Carolina
Vaccinated:2021-04-11
Onset:2021-04-19
Submitted:0000-00-00
Entered:2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Pharmacy      Purchased by: ??
Symptoms: Injection site reaction, Injection site warmth, Injection site swelling

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: Multivitamin daily
Current Illness: No e
Preexisting Conditions: None
Allergies: None None
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Skin reaction at injection site, swollen and hot to the touch


Changed on 5/14/2021

VAERS ID: 1247261 Before After
VAERS Form:2
Age:47.0
Sex:Female
Location:North Carolina
Vaccinated:2021-04-11
Onset:2021-04-19
Submitted:0000-00-00
Entered:2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Pharmacy      Purchased by: ??
Symptoms: Injection site reaction, Injection site warmth, Injection site swelling

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: Multivitamin daily
Current Illness: No e
Preexisting Conditions: None
Allergies: None None
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Skin reaction at injection site, swollen and hot to the touch

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1247261&WAYBACKHISTORY=ON


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