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This is VAERS ID 1260378

History of Changes from the VAERS Wayback Machine

First Appeared on 4/30/2021

VAERS ID: 1260378
VAERS Form:2
Age:54.0
Sex:Female
Location:Vermont
Vaccinated:2021-03-31
Onset:2021-04-12
Submitted:0000-00-00
Entered:2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Other      Purchased by: ??
Symptoms: Abdominal pain upper, Ageusia, Headache, Pain in extremity, Rhinorrhoea, Oropharyngeal discomfort, SARS-CoV-2 test negative

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: Estrace
Current Illness: None
Preexisting Conditions: Back pain
Allergies: Amoxicillin
Diagnostic Lab Data: Went to doctors and had me have a covid test,came back negative,and they told me it was a viral infection and gave me a antibiotic for five days but still don''t feel any better.
CDC 'Split Type':

Write-up: Had severe headache, runny nose , scratchy throat,bad leg pain, stomach pain,and loss of taste on certain things,and still have symptoms to this day,and very tired all the time


Changed on 5/7/2021

VAERS ID: 1260378 Before After
VAERS Form:2
Age:54.0
Sex:Female
Location:Vermont
Vaccinated:2021-03-31
Onset:2021-04-12
Submitted:0000-00-00
Entered:2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Other      Purchased by: ??
Symptoms: Abdominal pain upper, Ageusia, Headache, Pain in extremity, Rhinorrhoea, Oropharyngeal discomfort, SARS-CoV-2 test negative

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: Estrace
Current Illness: None
Preexisting Conditions: Back pain
Allergies: Amoxicillin Amoxicillin
Diagnostic Lab Data: Went to doctors and had me have a covid test,came back negative,and they told me it was a viral infection and gave me a antibiotic for five days but still don''t feel any better.
CDC 'Split Type':

Write-up: Had severe headache, runny nose , scratchy throat,bad leg pain, stomach pain,and loss of taste on certain things,and still have symptoms to this day,and very tired all the time


Changed on 5/14/2021

VAERS ID: 1260378 Before After
VAERS Form:2
Age:54.0
Sex:Female
Location:Vermont
Vaccinated:2021-03-31
Onset:2021-04-12
Submitted:0000-00-00
Entered:2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Other      Purchased by: ??
Symptoms: Abdominal pain upper, Ageusia, Headache, Pain in extremity, Rhinorrhoea, Oropharyngeal discomfort, SARS-CoV-2 test negative

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: Estrace
Current Illness: None
Preexisting Conditions: Back pain
Allergies: Amoxicillin Amoxicillin
Diagnostic Lab Data: Went to doctors and had me have a covid test,came back negative,and they told me it was a viral infection and gave me a antibiotic for five days but still don''t feel any better.
CDC 'Split Type':

Write-up: Had severe headache, runny nose , scratchy throat,bad leg pain, stomach pain,and loss of taste on certain things,and still have symptoms to this day,and very tired all the time

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1260378&WAYBACKHISTORY=ON


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