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This is VAERS ID 1261002

History of Changes from the VAERS Wayback Machine

First Appeared on 4/30/2021

VAERS ID: 1261002
VAERS Form:2
Age:25.0
Sex:Female
Location:Washington
Vaccinated:2021-04-11
Onset:2021-04-12
Submitted:0000-00-00
Entered:2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 LA / UN

Administered by: Pharmacy      Purchased by: ??
Symptoms: Chills, Culture wound negative, Pyrexia, Vaginal ulceration, Vulval ulceration, Vulvovaginal discomfort, Smear vaginal normal, Sexually transmitted disease test

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: SPIRONOLACTONE, ESTARYLLA
Current Illness: none
Preexisting Conditions: acne vulgaris
Allergies: none
Diagnostic Lab Data: All STD & STI tests were done on 4/15 to rule out disease - all negative. Wound culture taken 4/15. Wet mount taken 4/15 - negative/no fungi, Anime, clue cells, Trichomonas.
CDC 'Split Type':

Write-up: 4/11/2021: chills, fever 4/12/2021: Lipsch?tz ulcer; vaginal ulcerations that lasted for ~2 weeks. Noticed discomfort on 4/12. First saw nurse practitioner on 4/15 and saw ob/gyn on 4/20. Never experienced before.


Changed on 5/7/2021

VAERS ID: 1261002 Before After
VAERS Form:2
Age:25.0
Sex:Female
Location:Washington
Vaccinated:2021-04-11
Onset:2021-04-12
Submitted:0000-00-00
Entered:2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 LA / UN

Administered by: Pharmacy      Purchased by: ??
Symptoms: Chills, Culture wound negative, Pyrexia, Vaginal ulceration, Vulval ulceration, Vulvovaginal discomfort, Smear vaginal normal, Sexually transmitted disease test

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: SPIRONOLACTONE, ESTARYLLA
Current Illness: none
Preexisting Conditions: acne vulgaris
Allergies: none none
Diagnostic Lab Data: All STD & STI tests were done on 4/15 to rule out disease - all negative. Wound culture taken 4/15. Wet mount taken 4/15 - negative/no fungi, Anime, clue cells, Trichomonas.
CDC 'Split Type':

Write-up: 4/11/2021: chills, fever 4/12/2021: Lipsch?tz Lipschütz ulcer; vaginal ulcerations that lasted for ~2 weeks. Noticed discomfort on 4/12. First saw nurse practitioner on 4/15 and saw ob/gyn on 4/20. Never experienced before.


Changed on 5/14/2021

VAERS ID: 1261002 Before After
VAERS Form:2
Age:25.0
Sex:Female
Location:Washington
Vaccinated:2021-04-11
Onset:2021-04-12
Submitted:0000-00-00
Entered:2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 LA / UN

Administered by: Pharmacy      Purchased by: ??
Symptoms: Chills, Culture wound negative, Pyrexia, Vaginal ulceration, Vulval ulceration, Vulvovaginal discomfort, Smear vaginal normal, Sexually transmitted disease test

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: SPIRONOLACTONE, ESTARYLLA
Current Illness: none
Preexisting Conditions: acne vulgaris
Allergies: none none
Diagnostic Lab Data: All STD & STI tests were done on 4/15 to rule out disease - all negative. Wound culture taken 4/15. Wet mount taken 4/15 - negative/no fungi, Anime, clue cells, Trichomonas.
CDC 'Split Type':

Write-up: 4/11/2021: chills, fever 4/12/2021: Lipschütz Lipsch?tz ulcer; vaginal ulcerations that lasted for ~2 weeks. Noticed discomfort on 4/12. First saw nurse practitioner on 4/15 and saw ob/gyn on 4/20. Never experienced before.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1261002&WAYBACKHISTORY=ON


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