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This is VAERS ID 1252632

History of Changes from the VAERS Wayback Machine

First Appeared on 4/30/2021

VAERS ID: 1252632
VAERS Form:2
Age:24.0
Sex:Female
Location:Illinois
Vaccinated:2021-04-06
Onset:2021-04-12
Submitted:0000-00-00
Entered:2021-04-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / SYR

Administered by: Pharmacy      Purchased by: ??
Symptoms: Burning sensation, Head discomfort, Headache, Muscle spasms, Pain, Pain in extremity, Paraesthesia, Nasal discomfort, Ultrasound scan normal

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Junel 1.5/30 Levothyroxine 50 mcg
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data: Ultrasound of leg with no clots reported on 4/15/2021. Physical neurological exam on 4/15/2021 and 4/18/2021. Nothing of concern on either exam. Ultimately prescribed Butabital-Acetaminophen and Gabapentin for the persistent headache.
CDC 'Split Type':

Write-up: Mild headache and mild leg pain started on 4/12/2021 at around 23:00. Leg pain can best be described as cramping, shooting pain in the back of the calf and thigh, at times radiating through the rest of the leg. Headache was a dull throbbing on right side of the head. Pain increased to moderate in both areas in the following days. Headache and Leg pain persisted through 4/23/2021. The leg pain continued to be sharp/shooting/cramping, but the headache transformed from a dull throbbing on the side of the head to a moderate sharp, burning feeling in the temples. This was also accompanied by a burning feeling in the nasal cavity and a "pins and needles"/heaviness feeling around the ears. Pain was not severe enough to be debilitating but required frequent pain medication to manage. The headache and leg pain appear to have ceased as of 4/24/2021.


Changed on 5/7/2021

VAERS ID: 1252632 Before After
VAERS Form:2
Age:24.0
Sex:Female
Location:Illinois
Vaccinated:2021-04-06
Onset:2021-04-12
Submitted:0000-00-00
Entered:2021-04-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / SYR

Administered by: Pharmacy      Purchased by: ??
Symptoms: Burning sensation, Head discomfort, Headache, Muscle spasms, Pain, Pain in extremity, Paraesthesia, Nasal discomfort, Ultrasound scan normal

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Junel 1.5/30 Levothyroxine 50 mcg
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A N/A
Diagnostic Lab Data: Ultrasound of leg with no clots reported on 4/15/2021. Physical neurological exam on 4/15/2021 and 4/18/2021. Nothing of concern on either exam. Ultimately prescribed Butabital-Acetaminophen and Gabapentin for the persistent headache.
CDC 'Split Type':

Write-up: Mild headache and mild leg pain started on 4/12/2021 at around 23:00. Leg pain can best be described as cramping, shooting pain in the back of the calf and thigh, at times radiating through the rest of the leg. Headache was a dull throbbing on right side of the head. Pain increased to moderate in both areas in the following days. Headache and Leg pain persisted through 4/23/2021. The leg pain continued to be sharp/shooting/cramping, but the headache transformed from a dull throbbing on the side of the head to a moderate sharp, burning feeling in the temples. This was also accompanied by a burning feeling in the nasal cavity and a "pins and needles"/heaviness feeling around the ears. Pain was not severe enough to be debilitating but required frequent pain medication to manage. The headache and leg pain appear to have ceased as of 4/24/2021.


Changed on 5/14/2021

VAERS ID: 1252632 Before After
VAERS Form:2
Age:24.0
Sex:Female
Location:Illinois
Vaccinated:2021-04-06
Onset:2021-04-12
Submitted:0000-00-00
Entered:2021-04-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / SYR

Administered by: Pharmacy      Purchased by: ??
Symptoms: Burning sensation, Head discomfort, Headache, Muscle spasms, Pain, Pain in extremity, Paraesthesia, Nasal discomfort, Ultrasound scan normal

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Junel 1.5/30 Levothyroxine 50 mcg
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A N/A
Diagnostic Lab Data: Ultrasound of leg with no clots reported on 4/15/2021. Physical neurological exam on 4/15/2021 and 4/18/2021. Nothing of concern on either exam. Ultimately prescribed Butabital-Acetaminophen and Gabapentin for the persistent headache.
CDC 'Split Type':

Write-up: Mild headache and mild leg pain started on 4/12/2021 at around 23:00. Leg pain can best be described as cramping, shooting pain in the back of the calf and thigh, at times radiating through the rest of the leg. Headache was a dull throbbing on right side of the head. Pain increased to moderate in both areas in the following days. Headache and Leg pain persisted through 4/23/2021. The leg pain continued to be sharp/shooting/cramping, but the headache transformed from a dull throbbing on the side of the head to a moderate sharp, burning feeling in the temples. This was also accompanied by a burning feeling in the nasal cavity and a "pins and needles"/heaviness feeling around the ears. Pain was not severe enough to be debilitating but required frequent pain medication to manage. The headache and leg pain appear to have ceased as of 4/24/2021.

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