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This is VAERS ID 1251635

History of Changes from the VAERS Wayback Machine

First Appeared on 4/30/2021

VAERS ID: 1251635
VAERS Form:2
Age:74.0
Sex:Male
Location:Indiana
Vaccinated:2021-04-06
Onset:2021-04-19
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: 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: fAMOTIDINE AND aMLODIPINE bESYLATE
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: DR. did not give me any test. INSTRUCTION GIVEN , GO HOME TAKE TYLENOL,AND ROTATE WITH IBUPROFEN.
CDC 'Split Type':

Write-up: Constantly having pains in my left leg .


Changed on 5/7/2021

VAERS ID: 1251635 Before After
VAERS Form:2
Age:74.0
Sex:Male
Location:Indiana
Vaccinated:2021-04-06
Onset:2021-04-19
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: 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: fAMOTIDINE AND aMLODIPINE bESYLATE
Current Illness: None
Preexisting Conditions: None
Allergies: None None
Diagnostic Lab Data: DR. did not give me any test. INSTRUCTION GIVEN , GO HOME TAKE TYLENOL,AND ROTATE WITH IBUPROFEN.
CDC 'Split Type':

Write-up: Constantly having pains in my left leg .


Changed on 5/14/2021

VAERS ID: 1251635 Before After
VAERS Form:2
Age:74.0
Sex:Male
Location:Indiana
Vaccinated:2021-04-06
Onset:2021-04-19
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: 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: fAMOTIDINE AND aMLODIPINE bESYLATE
Current Illness: None
Preexisting Conditions: None
Allergies: None None
Diagnostic Lab Data: DR. did not give me any test. INSTRUCTION GIVEN , GO HOME TAKE TYLENOL,AND ROTATE WITH IBUPROFEN.
CDC 'Split Type':

Write-up: Constantly having pains in my left leg .

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1251635&WAYBACKHISTORY=ON


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