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This is VAERS ID 1262381

History of Changes from the VAERS Wayback Machine

First Appeared on 4/30/2021

VAERS ID: 1262381
VAERS Form:2
Age:53.0
Sex:Female
Location:California
Vaccinated:2021-04-09
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Private      Purchased by: ??
Symptoms: Dysgeusia, Full blood count, Headache, Nausea, Pain, Pyrexia, Vertigo, Metabolic function test, Immediate post-injection reaction

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: Mirena hormonal IUD, Omeprazole
Current Illness:
Preexisting Conditions: Migraines, Reflux disease
Allergies: Torodal
Diagnostic Lab Data: CBC, CMP
CDC 'Split Type':

Write-up: The above is unknown, the patient received the Janssen (J&J) vaccine at a pharmacy. The patient has had a high fever, nausea and vertigo. The patient had body aches lasting 3 days and described a chemical taste in mouth that occurred immediately after vaccination. The patient still reports a HA, other symptoms have subsided.


Changed on 5/7/2021

VAERS ID: 1262381 Before After
VAERS Form:2
Age:53.0
Sex:Female
Location:California
Vaccinated:2021-04-09
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Private      Purchased by: ??
Symptoms: Dysgeusia, Full blood count, Headache, Nausea, Pain, Pyrexia, Vertigo, Metabolic function test, Immediate post-injection reaction

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: Mirena hormonal IUD, Omeprazole
Current Illness:
Preexisting Conditions: Migraines, Reflux disease
Allergies: Torodal Torodal
Diagnostic Lab Data: CBC, CMP
CDC 'Split Type':

Write-up: The above is unknown, the patient received the Janssen (J&J) vaccine at a pharmacy. The patient has had a high fever, nausea and vertigo. The patient had body aches lasting 3 days and described a chemical taste in mouth that occurred immediately after vaccination. The patient still reports a HA, other symptoms have subsided.


Changed on 5/14/2021

VAERS ID: 1262381 Before After
VAERS Form:2
Age:53.0
Sex:Female
Location:California
Vaccinated:2021-04-09
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Private      Purchased by: ??
Symptoms: Dysgeusia, Full blood count, Headache, Nausea, Pain, Pyrexia, Vertigo, Metabolic function test, Immediate post-injection reaction

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: Mirena hormonal IUD, Omeprazole
Current Illness:
Preexisting Conditions: Migraines, Reflux disease
Allergies: Torodal Torodal
Diagnostic Lab Data: CBC, CMP
CDC 'Split Type':

Write-up: The above is unknown, the patient received the Janssen (J&J) vaccine at a pharmacy. The patient has had a high fever, nausea and vertigo. The patient had body aches lasting 3 days and described a chemical taste in mouth that occurred immediately after vaccination. The patient still reports a HA, other symptoms have subsided.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1262381&WAYBACKHISTORY=ON


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