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This is VAERS ID 1258850

History of Changes from the VAERS Wayback Machine

First Appeared on 4/30/2021

VAERS ID: 1258850
VAERS Form:2
Age:60.0
Sex:Female
Location:New Hampshire
Vaccinated:2021-04-11
Onset:2021-04-12
Submitted:0000-00-00
Entered:2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 LA / SYR

Administered by: Other      Purchased by: ??
Symptoms: Chills, Feeling hot, Gait disturbance, Headache, Night sweats, Pain, Pain in extremity, Mobility decreased, Loss of personal independence in daily activities

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: CALCIUM 1200MG,VITAMIN C WILD ROSE HIPS 500 MG, ALIVE WOMEN''S 50 PLUS COMPLETE MULTIVITAMINS
Current Illness: NONE
Preexisting Conditions: NONE
Allergies: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: AT 2:00 A.M.HAD THE SWEATS BURNING UP NEEDED TO TAKE SHOWER TO COOL DOWN THAN HAD CHILLS AND BODY ACHES, AND HEADACHE STARTED, HAD A HARD TIME FUNCTIONING. THIS WENT ON FOR TWO DAYS THEN HEADACHE FOR A WEEK AND LEGS WERE PAINFUL TO WALK STILL ARE HEADACHE GONE BUT PAIN IN LEGS, STILL TAKING ADVIL ITS BEEN TWO WEEKS SINCE THE SHOT.


Changed on 5/7/2021

VAERS ID: 1258850 Before After
VAERS Form:2
Age:60.0
Sex:Female
Location:New Hampshire
Vaccinated:2021-04-11
Onset:2021-04-12
Submitted:0000-00-00
Entered:2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 LA / SYR

Administered by: Other      Purchased by: ??
Symptoms: Chills, Feeling hot, Gait disturbance, Headache, Night sweats, Pain, Pain in extremity, Mobility decreased, Loss of personal independence in daily activities

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: CALCIUM 1200MG,VITAMIN C WILD ROSE HIPS 500 MG, ALIVE WOMEN''S 50 PLUS COMPLETE MULTIVITAMINS
Current Illness: NONE
Preexisting Conditions: NONE
Allergies: NONE NONE
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: AT 2:00 A.M.HAD THE SWEATS BURNING UP NEEDED TO TAKE SHOWER TO COOL DOWN THAN HAD CHILLS AND BODY ACHES, AND HEADACHE STARTED, HAD A HARD TIME FUNCTIONING. THIS WENT ON FOR TWO DAYS THEN HEADACHE FOR A WEEK AND LEGS WERE PAINFUL TO WALK STILL ARE HEADACHE GONE BUT PAIN IN LEGS, STILL TAKING ADVIL ITS BEEN TWO WEEKS SINCE THE SHOT.


Changed on 5/14/2021

VAERS ID: 1258850 Before After
VAERS Form:2
Age:60.0
Sex:Female
Location:New Hampshire
Vaccinated:2021-04-11
Onset:2021-04-12
Submitted:0000-00-00
Entered:2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 LA / SYR

Administered by: Other      Purchased by: ??
Symptoms: Chills, Feeling hot, Gait disturbance, Headache, Night sweats, Pain, Pain in extremity, Mobility decreased, Loss of personal independence in daily activities

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: CALCIUM 1200MG,VITAMIN C WILD ROSE HIPS 500 MG, ALIVE WOMEN''S 50 PLUS COMPLETE MULTIVITAMINS
Current Illness: NONE
Preexisting Conditions: NONE
Allergies: NONE NONE
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: AT 2:00 A.M.HAD THE SWEATS BURNING UP NEEDED TO TAKE SHOWER TO COOL DOWN THAN HAD CHILLS AND BODY ACHES, AND HEADACHE STARTED, HAD A HARD TIME FUNCTIONING. THIS WENT ON FOR TWO DAYS THEN HEADACHE FOR A WEEK AND LEGS WERE PAINFUL TO WALK STILL ARE HEADACHE GONE BUT PAIN IN LEGS, STILL TAKING ADVIL ITS BEEN TWO WEEKS SINCE THE SHOT.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1258850&WAYBACKHISTORY=ON


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