National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 1256805

History of Changes from the VAERS Wayback Machine

First Appeared on 4/30/2021

VAERS ID: 1256805
VAERS Form:2
Age:37.0
Sex:Female
Location:California
Vaccinated:2021-04-12
Onset:2021-04-12
Submitted:0000-00-00
Entered:2021-04-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Public      Purchased by: ??
Symptoms: Migraine, Pain in extremity

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 (otc) Cambia (prn) Ubrelvy (prn) Ujovy (1x monthly) Wellbutrin Xanax (prn) Gabalentin
Current Illness: Anemia Anxiety Depression
Preexisting Conditions: Anemia Anxiety Depression
Allergies: Pencillin
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Migraine/headache since date of vaccine Sore arm


Changed on 5/7/2021

VAERS ID: 1256805 Before After
VAERS Form:2
Age:37.0
Sex:Female
Location:California
Vaccinated:2021-04-12
Onset:2021-04-12
Submitted:0000-00-00
Entered:2021-04-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Public      Purchased by: ??
Symptoms: Migraine, Pain in extremity

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 (otc) Cambia (prn) Ubrelvy (prn) Ujovy (1x monthly) Wellbutrin Xanax (prn) Gabalentin
Current Illness: Anemia Anxiety Depression
Preexisting Conditions: Anemia Anxiety Depression
Allergies: Pencillin Pencillin
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Migraine/headache since date of vaccine Sore arm


Changed on 5/14/2021

VAERS ID: 1256805 Before After
VAERS Form:2
Age:37.0
Sex:Female
Location:California
Vaccinated:2021-04-12
Onset:2021-04-12
Submitted:0000-00-00
Entered:2021-04-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Public      Purchased by: ??
Symptoms: Migraine, Pain in extremity

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 (otc) Cambia (prn) Ubrelvy (prn) Ujovy (1x monthly) Wellbutrin Xanax (prn) Gabalentin
Current Illness: Anemia Anxiety Depression
Preexisting Conditions: Anemia Anxiety Depression
Allergies: Pencillin Pencillin
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Migraine/headache since date of vaccine Sore arm

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1256805&WAYBACKHISTORY=ON


Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166