National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 1247420

History of Changes from the VAERS Wayback Machine

First Appeared on 4/30/2021

VAERS ID: 1247420
VAERS Form:2
Age:41.0
Sex:Female
Location:Wisconsin
Vaccinated:2021-03-29
Onset:2021-04-12
Submitted:0000-00-00
Entered:2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808978 / 1 LA / IM

Administered by: Public      Purchased by: ??
Symptoms: Burning sensation, Dizziness, Headache, Pain, Visual impairment

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: HORMONE REPLACEMENT - ESTROGEN 1ML / DAY, PO, DAILY. VITAMIN D AND VITAMIN B12, PRN.
Current Illness: NO
Preexisting Conditions: BICUSPID AORTIC VALVE, PCOS (TREATED), HYSTERECTOMY, RHEUMATOID ARTHRITIS, ENDOMETRIOSIS (TREATED)
Allergies: LACTOSE SENSITIVE/INTOLERANT.
Diagnostic Lab Data: NO
CDC 'Split Type': 401

Write-up: PATIENT REPORTS: DIZZINESS 2 WEEKS POST-INJECTION, SEEING STARS ON SIDES OF VISION 2 WEEKS POST-VACCINATION, AND EXPERIECING FEELING OF "SHOOTING PAIN" OR "BURNING PAIN" INSIDE OF HEAD 2 WEEKS POST-INJECTION. NOT TYPICAL SYMPTOMS FOR PATIENT.


Changed on 5/7/2021

VAERS ID: 1247420 Before After
VAERS Form:2
Age:41.0
Sex:Female
Location:Wisconsin
Vaccinated:2021-03-29
Onset:2021-04-12
Submitted:0000-00-00
Entered:2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808978 / 1 LA / IM

Administered by: Public      Purchased by: ??
Symptoms: Burning sensation, Dizziness, Headache, Pain, Visual impairment

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: HORMONE REPLACEMENT - ESTROGEN 1ML / DAY, PO, DAILY. VITAMIN D AND VITAMIN B12, PRN.
Current Illness: NO
Preexisting Conditions: BICUSPID AORTIC VALVE, PCOS (TREATED), HYSTERECTOMY, RHEUMATOID ARTHRITIS, ENDOMETRIOSIS (TREATED)
Allergies: LACTOSE SENSITIVE/INTOLERANT. SENSITIVE/INTOLERANT.
Diagnostic Lab Data: NO
CDC 'Split Type': 401

Write-up: PATIENT REPORTS: DIZZINESS 2 WEEKS POST-INJECTION, SEEING STARS ON SIDES OF VISION 2 WEEKS POST-VACCINATION, AND EXPERIECING FEELING OF "SHOOTING PAIN" OR "BURNING PAIN" INSIDE OF HEAD 2 WEEKS POST-INJECTION. NOT TYPICAL SYMPTOMS FOR PATIENT.


Changed on 5/14/2021

VAERS ID: 1247420 Before After
VAERS Form:2
Age:41.0
Sex:Female
Location:Wisconsin
Vaccinated:2021-03-29
Onset:2021-04-12
Submitted:0000-00-00
Entered:2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808978 / 1 LA / IM

Administered by: Public      Purchased by: ??
Symptoms: Burning sensation, Dizziness, Headache, Pain, Visual impairment

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: HORMONE REPLACEMENT - ESTROGEN 1ML / DAY, PO, DAILY. VITAMIN D AND VITAMIN B12, PRN.
Current Illness: NO
Preexisting Conditions: BICUSPID AORTIC VALVE, PCOS (TREATED), HYSTERECTOMY, RHEUMATOID ARTHRITIS, ENDOMETRIOSIS (TREATED)
Allergies: LACTOSE SENSITIVE/INTOLERANT. SENSITIVE/INTOLERANT.
Diagnostic Lab Data: NO
CDC 'Split Type': 401

Write-up: PATIENT REPORTS: DIZZINESS 2 WEEKS POST-INJECTION, SEEING STARS ON SIDES OF VISION 2 WEEKS POST-VACCINATION, AND EXPERIECING FEELING OF "SHOOTING PAIN" OR "BURNING PAIN" INSIDE OF HEAD 2 WEEKS POST-INJECTION. NOT TYPICAL SYMPTOMS FOR PATIENT.

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1247420&WAYBACKHISTORY=ON


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