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This is VAERS ID 1247296

History of Changes from the VAERS Wayback Machine

First Appeared on 4/30/2021

VAERS ID: 1247296
VAERS Form:2
Age:61.0
Sex:Female
Location:California
Vaccinated:2021-04-10
Onset:2021-04-21
Submitted:0000-00-00
Entered:2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 LA / UN

Administered by: Public      Purchased by: ??
Symptoms: Rash

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamin D, multi-vitamin, chlorophyll, Vitamin C.
Current Illness: None
Preexisting Conditions: None
Allergies: Phenothiazine
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Janssen COVID-19 Vaccine EUA Rash on torso. Still there at reporting time 48 hours later.


Changed on 5/7/2021

VAERS ID: 1247296 Before After
VAERS Form:2
Age:61.0
Sex:Female
Location:California
Vaccinated:2021-04-10
Onset:2021-04-21
Submitted:0000-00-00
Entered:2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 LA / UN

Administered by: Public      Purchased by: ??
Symptoms: Rash

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamin D, multi-vitamin, chlorophyll, Vitamin C.
Current Illness: None
Preexisting Conditions: None
Allergies: Phenothiazine Phenothiazine
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Janssen COVID-19 Vaccine EUA Rash on torso. Still there at reporting time 48 hours later.


Changed on 5/14/2021

VAERS ID: 1247296 Before After
VAERS Form:2
Age:61.0
Sex:Female
Location:California
Vaccinated:2021-04-10
Onset:2021-04-21
Submitted:0000-00-00
Entered:2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 LA / UN

Administered by: Public      Purchased by: ??
Symptoms: Rash

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamin D, multi-vitamin, chlorophyll, Vitamin C.
Current Illness: None
Preexisting Conditions: None
Allergies: Phenothiazine Phenothiazine
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Janssen COVID-19 Vaccine EUA Rash on torso. Still there at reporting time 48 hours later.

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