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This is VAERS ID 1256211

History of Changes from the VAERS Wayback Machine

First Appeared on 4/30/2021

VAERS ID: 1256211
VAERS Form:2
Age:26.0
Sex:Female
Location:New York
Vaccinated:2021-04-10
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / SYR

Administered by: Unknown      Purchased by: ??
Symptoms: Costochondritis, Pain, Tension headache, Muscle tightness, Inflammation

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: Iron 45mg
Current Illness: Anemia, Interstitial Cystitis
Preexisting Conditions: Interstitial Cystitis
Allergies: None
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Inflammation causing muscle tension in neck and collar bone pain/ flair up of past issues. I had tension headaches and costochondritis in the past. The vaccine made both come back/flair up.


Changed on 5/7/2021

VAERS ID: 1256211 Before After
VAERS Form:2
Age:26.0
Sex:Female
Location:New York
Vaccinated:2021-04-10
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / SYR

Administered by: Unknown      Purchased by: ??
Symptoms: Costochondritis, Pain, Tension headache, Muscle tightness, Inflammation

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: Iron 45mg
Current Illness: Anemia, Interstitial Cystitis
Preexisting Conditions: Interstitial Cystitis
Allergies: None None
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Inflammation causing muscle tension in neck and collar bone pain/ flair up of past issues. I had tension headaches and costochondritis in the past. The vaccine made both come back/flair up.


Changed on 5/14/2021

VAERS ID: 1256211 Before After
VAERS Form:2
Age:26.0
Sex:Female
Location:New York
Vaccinated:2021-04-10
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / SYR

Administered by: Unknown      Purchased by: ??
Symptoms: Costochondritis, Pain, Tension headache, Muscle tightness, Inflammation

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: Iron 45mg
Current Illness: Anemia, Interstitial Cystitis
Preexisting Conditions: Interstitial Cystitis
Allergies: None None
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Inflammation causing muscle tension in neck and collar bone pain/ flair up of past issues. I had tension headaches and costochondritis in the past. The vaccine made both come back/flair up.

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1256211&WAYBACKHISTORY=ON


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