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This is VAERS ID 1255654

History of Changes from the VAERS Wayback Machine

First Appeared on 4/30/2021

VAERS ID: 1255654
VAERS Form:2
Age:61.0
Sex:Female
Location:Florida
Vaccinated:2021-04-11
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / UNK - / -

Administered by: Pharmacy      Purchased by: ??
Symptoms: Bone pain, Dizziness, Fatigue, Nausea, Pain, Paraesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Creon, Gabapentin, Vitamin B12, Folic Acid, Low Dose Asprin, Vitamin C, Centrum Silver Vitamin, Vitamin D3, Omega 3
Current Illness:
Preexisting Conditions: Pancreatic Cancer, Whipple Surgery, High Cholestrol, Enlarged Thyroid (ultrasound scheduled 4/26 to rule out cancer)
Allergies: Pencillan, Ampicillan, Amoxicillan, Keflex, Suprax, Bleach
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Super Dizzy (2 days), nausea (4 days), tingling throughout body (5 days), fatigue (10 days), Severe body aches. Felt like every bone in my body was broken (4 days)


Changed on 5/7/2021

VAERS ID: 1255654 Before After
VAERS Form:2
Age:61.0
Sex:Female
Location:Florida
Vaccinated:2021-04-11
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / UNK - / -

Administered by: Pharmacy      Purchased by: ??
Symptoms: Bone pain, Dizziness, Fatigue, Nausea, Pain, Paraesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Creon, Gabapentin, Vitamin B12, Folic Acid, Low Dose Asprin, Vitamin C, Centrum Silver Vitamin, Vitamin D3, Omega 3
Current Illness:
Preexisting Conditions: Pancreatic Cancer, Whipple Surgery, High Cholestrol, Enlarged Thyroid (ultrasound scheduled 4/26 to rule out cancer)
Allergies: Pencillan, Ampicillan, Amoxicillan, Keflex, Suprax, Bleach Bleach
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Super Dizzy (2 days), nausea (4 days), tingling throughout body (5 days), fatigue (10 days), Severe body aches. Felt like every bone in my body was broken (4 days)


Changed on 5/14/2021

VAERS ID: 1255654 Before After
VAERS Form:2
Age:61.0
Sex:Female
Location:Florida
Vaccinated:2021-04-11
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / UNK - / -

Administered by: Pharmacy      Purchased by: ??
Symptoms: Bone pain, Dizziness, Fatigue, Nausea, Pain, Paraesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Creon, Gabapentin, Vitamin B12, Folic Acid, Low Dose Asprin, Vitamin C, Centrum Silver Vitamin, Vitamin D3, Omega 3
Current Illness:
Preexisting Conditions: Pancreatic Cancer, Whipple Surgery, High Cholestrol, Enlarged Thyroid (ultrasound scheduled 4/26 to rule out cancer)
Allergies: Pencillan, Ampicillan, Amoxicillan, Keflex, Suprax, Bleach Bleach
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Super Dizzy (2 days), nausea (4 days), tingling throughout body (5 days), fatigue (10 days), Severe body aches. Felt like every bone in my body was broken (4 days)

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1255654&WAYBACKHISTORY=ON


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