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This is VAERS ID 1260339

History of Changes from the VAERS Wayback Machine

First Appeared on 4/30/2021

VAERS ID: 1260339
VAERS Form:2
Age:40.0
Sex:Female
Location:Tennessee
Vaccinated:2021-04-07
Onset:2021-04-21
Submitted:0000-00-00
Entered:2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Urticaria

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: Chlorthalidone 25 MG po qd, KCL 20meq po bid, bariatric multivitamin, synthroid 112 might po qd
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: NKA
Diagnostic Lab Data: N/A
CDC 'Split Type':

Write-up: 2 weeks to the day after Janssen vaccine spontaneous outbreak of hives all over body. Required steroid shot and oral burst dose of steroids for 7 days. Hives present for 4 days with continued sporadic itching for several days after.


Changed on 5/7/2021

VAERS ID: 1260339 Before After
VAERS Form:2
Age:40.0
Sex:Female
Location:Tennessee
Vaccinated:2021-04-07
Onset:2021-04-21
Submitted:0000-00-00
Entered:2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Urticaria

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: Chlorthalidone 25 MG po qd, KCL 20meq po bid, bariatric multivitamin, synthroid 112 might po qd
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: NKA NKA
Diagnostic Lab Data: N/A
CDC 'Split Type':

Write-up: 2 weeks to the day after Janssen vaccine spontaneous outbreak of hives all over body. Required steroid shot and oral burst dose of steroids for 7 days. Hives present for 4 days with continued sporadic itching for several days after.


Changed on 5/14/2021

VAERS ID: 1260339 Before After
VAERS Form:2
Age:40.0
Sex:Female
Location:Tennessee
Vaccinated:2021-04-07
Onset:2021-04-21
Submitted:0000-00-00
Entered:2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Urticaria

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: Chlorthalidone 25 MG po qd, KCL 20meq po bid, bariatric multivitamin, synthroid 112 might po qd
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: NKA NKA
Diagnostic Lab Data: N/A
CDC 'Split Type':

Write-up: 2 weeks to the day after Janssen vaccine spontaneous outbreak of hives all over body. Required steroid shot and oral burst dose of steroids for 7 days. Hives present for 4 days with continued sporadic itching for several days after.

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1260339&WAYBACKHISTORY=ON


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