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This is VAERS ID 1251821

History of Changes from the VAERS Wayback Machine

First Appeared on 4/30/2021

VAERS ID: 1251821
VAERS Form:2
Age:35.0
Sex:Female
Location:Georgia
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 041A21A / 1 LA / SYR

Administered by: Private      Purchased by: ??
Symptoms: Blood folate normal, Blood thyroid stimulating hormone, Chills, Fatigue, Full blood count normal, Headache, Heart rate increased, Hypoaesthesia, Pain, Paraesthesia, Pollakiuria, Pyrexia, Vitamin B12 normal, Red blood cell sedimentation rate normal, Blood test normal, Metabolic function test

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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Topiramate (25mg, 2x/day), Ventolin (albuterol) inhaler, zinc vitamin (50mg), D3 vitamin (50mcg/2000 IU), Vitamin C (1000 mg)
Current Illness: None
Preexisting Conditions: Asthma (mild), Raynauds Syndrome, Migraines
Allergies: Magnesium Oxide, Aluminium
Diagnostic Lab Data: Took labs/blood work on Tuesday, April 20: Vitamin B-12 (82607), Folic Acid Serum (82746), CBC / Platelets & Aut Diff (85025), TSH (Tyroid Timulating hormone) (84443), Metabolic Panel (80053), Quest blood draw (36415), Sed rate erythrocyte (85651) - ALL came back normal. Thursday, April 22: took more blood
CDC 'Split Type':

Write-up: Sunday, April 11 at 5:30pm: Chills, fever (101.4), body aches all over, heart racing Sunday night - peed 4 times that night 1. Monday: Fever (100.5), chills, body aches all over, heart racing, fatigued (did nothing all day but sleep) 2. Monday around 8PM: fever & chills gone, body aches still there all over my body, headache, fatigue 3. Tuesday: Body aches still bad all over and headache 4. Wednesday: Body ache a little better and headache, tingling/nubmness starts in both legs (faintly) 5. Thursday: body ache barely there, soreness in arm at injection site, tingling/numbness in legs (sharp pain) 6. Friday: tingling/numbness in legs - mainly back of my thighs - sometimes also feeling this tingling in my arms and upper back area 7. Saturday: same, tingling/numbness in legs/sometimes in arms/upper back, body still sore to the touch 8. Sunday: same, tingling/numbness in legs - sometimes also in arms and upper back, body still sore to the touch 9. Monday: same, same, tingling/numbness in legs - sometimes also in arms and upper back ? Called DR to speak with nurse about this as didn''t feel normal to have this reaction, went into dr for appt on Tuesday, April 20. 10. Tuesday: Saw Dr. at 7:30am about tingling/numbness in legs - sometimes also in arms and upper back. Possible reaction to vaccine or more? Took labs/blood work: Vitamin B-12 (82607), Folic Acid Serum (82746), CBC / Platelets & Aut Diff (85025), TSH (Tyroid Timulating hormone) (84443), Metabolic Panel (80053), Quest blood draw (36415), Sed rate erythrocyte (85651) - ALL came back normal. 11. Wednesday: same, tingling/numbness in legs - sometimes also in arms and upper back, but the tingling this day got a little less intense. Not as painful today. 12. Had follow-up appt on Thursday, April 22 - took more tests. Tingling/numbness in legs but felt like Wednesday as a little less painful - didnt feel it as much in arms/back. Felt more like when your hand falls asleep and blood comes rushing back into it, thats how my legs felt this day, so more soreness than pain. 11. Friday: Symptoms same as the past 1 days, feel like tingling is getting a tad better.


Changed on 5/7/2021

VAERS ID: 1251821 Before After
VAERS Form:2
Age:35.0
Sex:Female
Location:Georgia
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 041A21A / 1 LA / SYR

Administered by: Private      Purchased by: ??
Symptoms: Blood folate normal, Blood thyroid stimulating hormone, Chills, Fatigue, Full blood count normal, Headache, Heart rate increased, Hypoaesthesia, Pain, Paraesthesia, Pollakiuria, Pyrexia, Vitamin B12 normal, Red blood cell sedimentation rate normal, Blood test normal, Metabolic function test

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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Topiramate (25mg, 2x/day), Ventolin (albuterol) inhaler, zinc vitamin (50mg), D3 vitamin (50mcg/2000 IU), Vitamin C (1000 mg)
Current Illness: None
Preexisting Conditions: Asthma (mild), Raynauds Syndrome, Migraines
Allergies: Magnesium Oxide, Aluminium Aluminium
Diagnostic Lab Data: Took labs/blood work on Tuesday, April 20: Vitamin B-12 (82607), Folic Acid Serum (82746), CBC / Platelets & Aut Diff (85025), TSH (Tyroid Timulating hormone) (84443), Metabolic Panel (80053), Quest blood draw (36415), Sed rate erythrocyte (85651) - ALL came back normal. Thursday, April 22: took more blood
CDC 'Split Type':

Write-up: Sunday, April 11 at 5:30pm: Chills, fever (101.4), body aches all over, heart racing Sunday night - peed 4 times that night 1. Monday: Fever (100.5), chills, body aches all over, heart racing, fatigued (did nothing all day but sleep) 2. Monday around 8PM: fever & chills gone, body aches still there all over my body, headache, fatigue 3. Tuesday: Body aches still bad all over and headache 4. Wednesday: Body ache a little better and headache, tingling/nubmness starts in both legs (faintly) 5. Thursday: body ache barely there, soreness in arm at injection site, tingling/numbness in legs (sharp pain) 6. Friday: tingling/numbness in legs - mainly back of my thighs - sometimes also feeling this tingling in my arms and upper back area 7. Saturday: same, tingling/numbness in legs/sometimes in arms/upper back, body still sore to the touch 8. Sunday: same, tingling/numbness in legs - sometimes also in arms and upper back, body still sore to the touch 9. Monday: same, same, tingling/numbness in legs - sometimes also in arms and upper back ? Called DR to speak with nurse about this as didn''t feel normal to have this reaction, went into dr for appt on Tuesday, April 20. 10. Tuesday: Saw Dr. at 7:30am about tingling/numbness in legs - sometimes also in arms and upper back. Possible reaction to vaccine or more? Took labs/blood work: Vitamin B-12 (82607), Folic Acid Serum (82746), CBC / Platelets & Aut Diff (85025), TSH (Tyroid Timulating hormone) (84443), Metabolic Panel (80053), Quest blood draw (36415), Sed rate erythrocyte (85651) - ALL came back normal. 11. Wednesday: same, tingling/numbness in legs - sometimes also in arms and upper back, but the tingling this day got a little less intense. Not as painful today. 12. Had follow-up appt on Thursday, April 22 - took more tests. Tingling/numbness in legs but felt like Wednesday as a little less painful - didnt feel it as much in arms/back. Felt more like when your hand falls asleep and blood comes rushing back into it, thats how my legs felt this day, so more soreness than pain. 11. Friday: Symptoms same as the past 1 days, feel like tingling is getting a tad better.


Changed on 5/14/2021

VAERS ID: 1251821 Before After
VAERS Form:2
Age:35.0
Sex:Female
Location:Georgia
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 041A21A / 1 LA / SYR

Administered by: Private      Purchased by: ??
Symptoms: Blood folate normal, Blood thyroid stimulating hormone, Chills, Fatigue, Full blood count normal, Headache, Heart rate increased, Hypoaesthesia, Pain, Paraesthesia, Pollakiuria, Pyrexia, Vitamin B12 normal, Red blood cell sedimentation rate normal, Blood test normal, Metabolic function test

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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Topiramate (25mg, 2x/day), Ventolin (albuterol) inhaler, zinc vitamin (50mg), D3 vitamin (50mcg/2000 IU), Vitamin C (1000 mg)
Current Illness: None
Preexisting Conditions: Asthma (mild), Raynauds Syndrome, Migraines
Allergies: Magnesium Oxide, Aluminium Aluminium
Diagnostic Lab Data: Took labs/blood work on Tuesday, April 20: Vitamin B-12 (82607), Folic Acid Serum (82746), CBC / Platelets & Aut Diff (85025), TSH (Tyroid Timulating hormone) (84443), Metabolic Panel (80053), Quest blood draw (36415), Sed rate erythrocyte (85651) - ALL came back normal. Thursday, April 22: took more blood
CDC 'Split Type':

Write-up: Sunday, April 11 at 5:30pm: Chills, fever (101.4), body aches all over, heart racing Sunday night - peed 4 times that night 1. Monday: Fever (100.5), chills, body aches all over, heart racing, fatigued (did nothing all day but sleep) 2. Monday around 8PM: fever & chills gone, body aches still there all over my body, headache, fatigue 3. Tuesday: Body aches still bad all over and headache 4. Wednesday: Body ache a little better and headache, tingling/nubmness starts in both legs (faintly) 5. Thursday: body ache barely there, soreness in arm at injection site, tingling/numbness in legs (sharp pain) 6. Friday: tingling/numbness in legs - mainly back of my thighs - sometimes also feeling this tingling in my arms and upper back area 7. Saturday: same, tingling/numbness in legs/sometimes in arms/upper back, body still sore to the touch 8. Sunday: same, tingling/numbness in legs - sometimes also in arms and upper back, body still sore to the touch 9. Monday: same, same, tingling/numbness in legs - sometimes also in arms and upper back ? Called DR to speak with nurse about this as didn''t feel normal to have this reaction, went into dr for appt on Tuesday, April 20. 10. Tuesday: Saw Dr. at 7:30am about tingling/numbness in legs - sometimes also in arms and upper back. Possible reaction to vaccine or more? Took labs/blood work: Vitamin B-12 (82607), Folic Acid Serum (82746), CBC / Platelets & Aut Diff (85025), TSH (Tyroid Timulating hormone) (84443), Metabolic Panel (80053), Quest blood draw (36415), Sed rate erythrocyte (85651) - ALL came back normal. 11. Wednesday: same, tingling/numbness in legs - sometimes also in arms and upper back, but the tingling this day got a little less intense. Not as painful today. 12. Had follow-up appt on Thursday, April 22 - took more tests. Tingling/numbness in legs but felt like Wednesday as a little less painful - didnt feel it as much in arms/back. Felt more like when your hand falls asleep and blood comes rushing back into it, thats how my legs felt this day, so more soreness than pain. 11. Friday: Symptoms same as the past 1 days, feel like tingling is getting a tad better.

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