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This is VAERS ID 1248557

History of Changes from the VAERS Wayback Machine

First Appeared on 4/30/2021

VAERS ID: 1248557
VAERS Form:2
Age:61.0
Sex:Female
Location:California
Vaccinated:2021-04-05
Onset:2021-04-12
Submitted:0000-00-00
Entered:2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Arthralgia, Burning sensation, Disturbance in attention, Headache, Pain in extremity

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: METROPOLOL, VIT-D, VIT-C, ZINC
Current Illness: FIBROMYALGIA, IRREGULAR HEAT BEAT
Preexisting Conditions: FIBROMYALGIA, IRREGULAR HEAT BEAT
Allergies: NONE
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient discribed mild headache immediately after. Patient experienced sore arm for about 10 days. Patient started experiencing pain all over a week after the injection. she describes it as a burning sensation though her nervous system and joint pain. Patient also experienced a brain fog a week after her injection. She states that she has trouble putting her thoughts to words. She still feel this reactions on your 17th day.


Changed on 5/7/2021

VAERS ID: 1248557 Before After
VAERS Form:2
Age:61.0
Sex:Female
Location:California
Vaccinated:2021-04-05
Onset:2021-04-12
Submitted:0000-00-00
Entered:2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Arthralgia, Burning sensation, Disturbance in attention, Headache, Pain in extremity

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: METROPOLOL, VIT-D, VIT-C, ZINC
Current Illness: FIBROMYALGIA, IRREGULAR HEAT BEAT
Preexisting Conditions: FIBROMYALGIA, IRREGULAR HEAT BEAT
Allergies: NONE NONE
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient discribed mild headache immediately after. Patient experienced sore arm for about 10 days. Patient started experiencing pain all over a week after the injection. she describes it as a burning sensation though her nervous system and joint pain. Patient also experienced a brain fog a week after her injection. She states that she has trouble putting her thoughts to words. She still feel this reactions on your 17th day.


Changed on 5/14/2021

VAERS ID: 1248557 Before After
VAERS Form:2
Age:61.0
Sex:Female
Location:California
Vaccinated:2021-04-05
Onset:2021-04-12
Submitted:0000-00-00
Entered:2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Arthralgia, Burning sensation, Disturbance in attention, Headache, Pain in extremity

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: METROPOLOL, VIT-D, VIT-C, ZINC
Current Illness: FIBROMYALGIA, IRREGULAR HEAT BEAT
Preexisting Conditions: FIBROMYALGIA, IRREGULAR HEAT BEAT
Allergies: NONE NONE
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient discribed mild headache immediately after. Patient experienced sore arm for about 10 days. Patient started experiencing pain all over a week after the injection. she describes it as a burning sensation though her nervous system and joint pain. Patient also experienced a brain fog a week after her injection. She states that she has trouble putting her thoughts to words. She still feel this reactions on your 17th day.

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1248557&WAYBACKHISTORY=ON


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