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This is VAERS ID 1251475

History of Changes from the VAERS Wayback Machine

First Appeared on 4/30/2021

VAERS ID: 1251475
VAERS Form:2
Age:52.0
Sex:Female
Location:New York
Vaccinated:2021-04-11
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Pharmacy      Purchased by: ??
Symptoms: Fatigue, Headache, Hypertension, Pain

Life Threatening? Yes
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: fever
Other Medications: Vitamins, magnesium, B12, DGL, iglutamine
Current Illness: none
Preexisting Conditions: none
Allergies: allergic to citric fruits
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Fadigue, body aches, hypertension to 220/120 level, headaches


Changed on 5/7/2021

VAERS ID: 1251475 Before After
VAERS Form:2
Age:52.0
Sex:Female
Location:New York
Vaccinated:2021-04-11
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Pharmacy      Purchased by: ??
Symptoms: Fatigue, Headache, Hypertension, Pain

Life Threatening? Yes
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: fever
Other Medications: Vitamins, magnesium, B12, DGL, iglutamine
Current Illness: none
Preexisting Conditions: none
Allergies: allergic to citric fruits fruits
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Fadigue, body aches, hypertension to 220/120 level, headaches


Changed on 5/14/2021

VAERS ID: 1251475 Before After
VAERS Form:2
Age:52.0
Sex:Female
Location:New York
Vaccinated:2021-04-11
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Pharmacy      Purchased by: ??
Symptoms: Fatigue, Headache, Hypertension, Pain

Life Threatening? Yes
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: fever
Other Medications: Vitamins, magnesium, B12, DGL, iglutamine
Current Illness: none
Preexisting Conditions: none
Allergies: allergic to citric fruits fruits
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Fadigue, body aches, hypertension to 220/120 level, headaches

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1251475&WAYBACKHISTORY=ON


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