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This is VAERS ID 1260021

History of Changes from the VAERS Wayback Machine

First Appeared on 4/30/2021

VAERS ID: 1260021
VAERS Form:2
Age:46.0
Sex:Female
Location:Ohio
Vaccinated:2021-04-10
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808982 / 1 LA / IM

Administered by: Other      Purchased by: ??
Symptoms: Abdominal pain, Blood gases, Chest pain, Chills, Differential white blood cell count, Dyspnoea, Electrocardiogram, Fatigue, Full blood count, Headache, Pregnancy test urine, Urine analysis, Cardiac monitoring, Computerised tomogram thorax, Feeling of body temperature change, Metabolic function test

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: One A Day Women''s complete Multivitamin/ Estradiol 0.5 mg tab/Goli Apple Cider Vimegar (2 gummies)
Current Illness: none
Preexisting Conditions: Irritable bowel syndrome/acid reflux
Allergies: Penicillin/ Adhesive Tape/Egg/Pistachio Nut/Lactose intolerance
Diagnostic Lab Data: Basic metabolic panel/chemical urialysis/complete blood count with differential/urine pregnancy screen/venous blood gas/ct chest pe protocol/ekg standard/cardiac monitor/oxygen/saline lock insert/ iohexol (omnipaque) /prednisone/saline flush/nacl 0.9%
CDC 'Split Type':

Write-up: Got Johnson and Johnson shot 4/10/2021: 4/11/21-4/12/21 headache, hot and cold chills 4/13/21- abdominal pain and shortness of breath 4/14/21- shortness of breath (sob) 4/15/21- headache, pain right side chest 4/16/21- fatigue, pain left side chest 4/17/21- sob (bad) 4/18/21- 4/21/21 sob 4/22/21 -woke up struggling to breath. Family Physician sent me to hospital. She was thinking blood clot lungs 4/23/21-current sob


Changed on 5/7/2021

VAERS ID: 1260021 Before After
VAERS Form:2
Age:46.0
Sex:Female
Location:Ohio
Vaccinated:2021-04-10
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808982 / 1 LA / IM

Administered by: Other      Purchased by: ??
Symptoms: Abdominal pain, Blood gases, Chest pain, Chills, Differential white blood cell count, Dyspnoea, Electrocardiogram, Fatigue, Full blood count, Headache, Pregnancy test urine, Urine analysis, Cardiac monitoring, Computerised tomogram thorax, Feeling of body temperature change, Metabolic function test

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: One A Day Women''s complete Multivitamin/ Estradiol 0.5 mg tab/Goli Apple Cider Vimegar (2 gummies)
Current Illness: none
Preexisting Conditions: Irritable bowel syndrome/acid reflux
Allergies: Penicillin/ Adhesive Tape/Egg/Pistachio Nut/Lactose intolerance intolerance
Diagnostic Lab Data: Basic metabolic panel/chemical urialysis/complete blood count with differential/urine pregnancy screen/venous blood gas/ct chest pe protocol/ekg standard/cardiac monitor/oxygen/saline lock insert/ iohexol (omnipaque) /prednisone/saline flush/nacl 0.9%
CDC 'Split Type':

Write-up: Got Johnson and Johnson shot 4/10/2021: 4/11/21-4/12/21 headache, hot and cold chills 4/13/21- abdominal pain and shortness of breath 4/14/21- shortness of breath (sob) 4/15/21- headache, pain right side chest 4/16/21- fatigue, pain left side chest 4/17/21- sob (bad) 4/18/21- 4/21/21 sob 4/22/21 -woke up struggling to breath. Family Physician sent me to hospital. She was thinking blood clot lungs 4/23/21-current sob


Changed on 5/14/2021

VAERS ID: 1260021 Before After
VAERS Form:2
Age:46.0
Sex:Female
Location:Ohio
Vaccinated:2021-04-10
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808982 / 1 LA / IM

Administered by: Other      Purchased by: ??
Symptoms: Abdominal pain, Blood gases, Chest pain, Chills, Differential white blood cell count, Dyspnoea, Electrocardiogram, Fatigue, Full blood count, Headache, Pregnancy test urine, Urine analysis, Cardiac monitoring, Computerised tomogram thorax, Feeling of body temperature change, Metabolic function test

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: One A Day Women''s complete Multivitamin/ Estradiol 0.5 mg tab/Goli Apple Cider Vimegar (2 gummies)
Current Illness: none
Preexisting Conditions: Irritable bowel syndrome/acid reflux
Allergies: Penicillin/ Adhesive Tape/Egg/Pistachio Nut/Lactose intolerance intolerance
Diagnostic Lab Data: Basic metabolic panel/chemical urialysis/complete blood count with differential/urine pregnancy screen/venous blood gas/ct chest pe protocol/ekg standard/cardiac monitor/oxygen/saline lock insert/ iohexol (omnipaque) /prednisone/saline flush/nacl 0.9%
CDC 'Split Type':

Write-up: Got Johnson and Johnson shot 4/10/2021: 4/11/21-4/12/21 headache, hot and cold chills 4/13/21- abdominal pain and shortness of breath 4/14/21- shortness of breath (sob) 4/15/21- headache, pain right side chest 4/16/21- fatigue, pain left side chest 4/17/21- sob (bad) 4/18/21- 4/21/21 sob 4/22/21 -woke up struggling to breath. Family Physician sent me to hospital. She was thinking blood clot lungs 4/23/21-current sob

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1260021&WAYBACKHISTORY=ON


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