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This is VAERS ID 1260019

History of Changes from the VAERS Wayback Machine

First Appeared on 4/30/2021

VAERS ID: 1260019
VAERS Form:2
Age:43.0
Sex:Male
Location:New York
Vaccinated:2021-04-12
Onset:2021-04-12
Submitted:0000-00-00
Entered:2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK LA / -

Administered by: Unknown      Purchased by: ??
Symptoms: Arthralgia, Hyperhidrosis, Myalgia, Pain in extremity, Swelling, Ultrasound scan

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: mulitvitamin, Deluxotime, pioglitazine, lamotragen, valsartan/amlodapine, symvastartin
Current Illness: na
Preexisting Conditions: high blood pressure, pre diabities
Allergies: na
Diagnostic Lab Data: joint specialist 4/27/21 Exam, sonar gram. Evidence of fluid build up, swelling
CDC 'Split Type':

Write-up: extreme sweating, joint pain and swelling, leg pain, muscle pain


Changed on 5/7/2021

VAERS ID: 1260019 Before After
VAERS Form:2
Age:43.0
Sex:Male
Location:New York
Vaccinated:2021-04-12
Onset:2021-04-12
Submitted:0000-00-00
Entered:2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK LA / -

Administered by: Unknown      Purchased by: ??
Symptoms: Arthralgia, Hyperhidrosis, Myalgia, Pain in extremity, Swelling, Ultrasound scan

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: mulitvitamin, Deluxotime, pioglitazine, lamotragen, valsartan/amlodapine, symvastartin
Current Illness: na
Preexisting Conditions: high blood pressure, pre diabities
Allergies: na na
Diagnostic Lab Data: joint specialist 4/27/21 Exam, sonar gram. Evidence of fluid build up, swelling
CDC 'Split Type':

Write-up: extreme sweating, joint pain and swelling, leg pain, muscle pain


Changed on 5/14/2021

VAERS ID: 1260019 Before After
VAERS Form:2
Age:43.0
Sex:Male
Location:New York
Vaccinated:2021-04-12
Onset:2021-04-12
Submitted:0000-00-00
Entered:2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK LA / -

Administered by: Unknown      Purchased by: ??
Symptoms: Arthralgia, Hyperhidrosis, Myalgia, Pain in extremity, Swelling, Ultrasound scan

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: mulitvitamin, Deluxotime, pioglitazine, lamotragen, valsartan/amlodapine, symvastartin
Current Illness: na
Preexisting Conditions: high blood pressure, pre diabities
Allergies: na na
Diagnostic Lab Data: joint specialist 4/27/21 Exam, sonar gram. Evidence of fluid build up, swelling
CDC 'Split Type':

Write-up: extreme sweating, joint pain and swelling, leg pain, muscle pain

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1260019&WAYBACKHISTORY=ON


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