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This is VAERS ID 1252400

History of Changes from the VAERS Wayback Machine

First Appeared on 4/30/2021

VAERS ID: 1252400
VAERS Form:2
Age:30.0
Sex:Female
Location:California
Vaccinated:2021-04-10
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 RA / IM

Administered by: Other      Purchased by: ??
Symptoms: Chest discomfort, Chest X-ray normal, Chills, Electrocardiogram normal, Fatigue, Full blood count normal, Pyrexia, Respiration abnormal, Blood test normal, Musculoskeletal chest pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: None
Current Illness: None
Preexisting Conditions: None
Allergies: Sulfa
Diagnostic Lab Data: On Thursday April 15 an EKG, CHEST XRAY, Blood work for CBC and Blood clots all came back normal.
CDC 'Split Type':

Write-up: The next day I was very fatigue and had body chills and mild fever. On monday I had chest tightness . I was still able to breathe and noticed that this was not normal. I pressumed my day as usual. On Thursday I went to my local urgent care. They performed an EKG, Blood test to rule out infection and blood clots and a chest x ray. All of my test came back NORMAL. My Dr. stated that it was " CHEST WALL MUSCLE PAIN" The CHEST TIGHTNESS WENT AWAY ON SUNDAY. 1 week later from the day of the injection.


Changed on 5/7/2021

VAERS ID: 1252400 Before After
VAERS Form:2
Age:30.0
Sex:Female
Location:California
Vaccinated:2021-04-10
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 RA / IM

Administered by: Other      Purchased by: ??
Symptoms: Chest discomfort, Chest X-ray normal, Chills, Electrocardiogram normal, Fatigue, Full blood count normal, Pyrexia, Respiration abnormal, Blood test normal, Musculoskeletal chest pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: None
Current Illness: None
Preexisting Conditions: None
Allergies: Sulfa Sulfa
Diagnostic Lab Data: On Thursday April 15 an EKG, CHEST XRAY, Blood work for CBC and Blood clots all came back normal.
CDC 'Split Type':

Write-up: The next day I was very fatigue and had body chills and mild fever. On monday I had chest tightness . I was still able to breathe and noticed that this was not normal. I pressumed my day as usual. On Thursday I went to my local urgent care. They performed an EKG, Blood test to rule out infection and blood clots and a chest x ray. All of my test came back NORMAL. My Dr. stated that it was " CHEST WALL MUSCLE PAIN" The CHEST TIGHTNESS WENT AWAY ON SUNDAY. 1 week later from the day of the injection.


Changed on 5/14/2021

VAERS ID: 1252400 Before After
VAERS Form:2
Age:30.0
Sex:Female
Location:California
Vaccinated:2021-04-10
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 RA / IM

Administered by: Other      Purchased by: ??
Symptoms: Chest discomfort, Chest X-ray normal, Chills, Electrocardiogram normal, Fatigue, Full blood count normal, Pyrexia, Respiration abnormal, Blood test normal, Musculoskeletal chest pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: None
Current Illness: None
Preexisting Conditions: None
Allergies: Sulfa Sulfa
Diagnostic Lab Data: On Thursday April 15 an EKG, CHEST XRAY, Blood work for CBC and Blood clots all came back normal.
CDC 'Split Type':

Write-up: The next day I was very fatigue and had body chills and mild fever. On monday I had chest tightness . I was still able to breathe and noticed that this was not normal. I pressumed my day as usual. On Thursday I went to my local urgent care. They performed an EKG, Blood test to rule out infection and blood clots and a chest x ray. All of my test came back NORMAL. My Dr. stated that it was " CHEST WALL MUSCLE PAIN" The CHEST TIGHTNESS WENT AWAY ON SUNDAY. 1 week later from the day of the injection.

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