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This is VAERS ID 1250807

History of Changes from the VAERS Wayback Machine

First Appeared on 4/30/2021

VAERS ID: 1250807
VAERS Form:2
Age:57.0
Sex:Female
Location:Virginia
Vaccinated:2021-04-08
Onset:2021-04-19
Submitted:0000-00-00
Entered:2021-04-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Aspartate aminotransferase normal, Computerised tomogram normal, Dehydration, Differential white blood cell count, Dizziness, Electrocardiogram normal, Feeling cold, Full blood count, Headache, Lipase normal, Nausea, Venogram normal, Vomiting, Computerised tomogram head, Urine analysis normal, Metabolic function test, Erythrocyte osmotic fragility test, SARS-CoV-2 test negative

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Fosomax
Current Illness: None
Preexisting Conditions: Bladder cancer survivor; osteoporosis
Allergies: Sulpha
Diagnostic Lab Data: 4/22/21: CBC and differential - normal Covid 19 raid - normal Comp metabolic panel - normal Got - normal Hemolysis index- normal Lipase - normal UA reflex to micro - normal CT head w/o contrast - normal CT venogram head - normal ECG 12 lead - normal
CDC 'Split Type':

Write-up: Extreme vomiting leading to dehydration requiring 3 L of IV saline; headache; nausea; chills; woozy feeling; all beginning 11 days after shot, leading to ER visit 14 days after shot. Still ill 15 days after shot but now have meds for symptoms.


Changed on 5/7/2021

VAERS ID: 1250807 Before After
VAERS Form:2
Age:57.0
Sex:Female
Location:Virginia
Vaccinated:2021-04-08
Onset:2021-04-19
Submitted:0000-00-00
Entered:2021-04-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Aspartate aminotransferase normal, Computerised tomogram normal, Dehydration, Differential white blood cell count, Dizziness, Electrocardiogram normal, Feeling cold, Full blood count, Headache, Lipase normal, Nausea, Venogram normal, Vomiting, Computerised tomogram head, Urine analysis normal, Metabolic function test, Erythrocyte osmotic fragility test, SARS-CoV-2 test negative

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Fosomax
Current Illness: None
Preexisting Conditions: Bladder cancer survivor; osteoporosis
Allergies: Sulpha Sulpha
Diagnostic Lab Data: 4/22/21: CBC and differential - normal Covid 19 raid - normal Comp metabolic panel - normal Got - normal Hemolysis index- normal Lipase - normal UA reflex to micro - normal CT head w/o contrast - normal CT venogram head - normal ECG 12 lead - normal
CDC 'Split Type':

Write-up: Extreme vomiting leading to dehydration requiring 3 L of IV saline; headache; nausea; chills; woozy feeling; all beginning 11 days after shot, leading to ER visit 14 days after shot. Still ill 15 days after shot but now have meds for symptoms.


Changed on 5/14/2021

VAERS ID: 1250807 Before After
VAERS Form:2
Age:57.0
Sex:Female
Location:Virginia
Vaccinated:2021-04-08
Onset:2021-04-19
Submitted:0000-00-00
Entered:2021-04-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Aspartate aminotransferase normal, Computerised tomogram normal, Dehydration, Differential white blood cell count, Dizziness, Electrocardiogram normal, Feeling cold, Full blood count, Headache, Lipase normal, Nausea, Venogram normal, Vomiting, Computerised tomogram head, Urine analysis normal, Metabolic function test, Erythrocyte osmotic fragility test, SARS-CoV-2 test negative

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Fosomax
Current Illness: None
Preexisting Conditions: Bladder cancer survivor; osteoporosis
Allergies: Sulpha Sulpha
Diagnostic Lab Data: 4/22/21: CBC and differential - normal Covid 19 raid - normal Comp metabolic panel - normal Got - normal Hemolysis index- normal Lipase - normal UA reflex to micro - normal CT head w/o contrast - normal CT venogram head - normal ECG 12 lead - normal
CDC 'Split Type':

Write-up: Extreme vomiting leading to dehydration requiring 3 L of IV saline; headache; nausea; chills; woozy feeling; all beginning 11 days after shot, leading to ER visit 14 days after shot. Still ill 15 days after shot but now have meds for symptoms.

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