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This is VAERS ID 1262491

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History of Changes from the VAERS Wayback Machine

First Appeared on 4/30/2021

VAERS ID: 1262491
VAERS Form:2
Age:59.0
Sex:Female
Location:Michigan
Vaccinated:2021-03-19
Onset:2021-03-24
Submitted:0000-00-00
Entered:2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1802068 / 1 - / IM

Administered by: Other      Purchased by: ??
Symptoms: Chest X-ray, Electrocardiogram, Full blood count, Guillain-Barre syndrome, Pain, Paraesthesia, Sensory disturbance

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: multivitamin
Current Illness: none
Preexisting Conditions: none
Allergies: sulfa, walnuts, apples
Diagnostic Lab Data: Complete blood panel, chest x-ray, EKG
CDC 'Split Type':

Write-up: Onset of symptoms: piercing sensation in legs, feet, ankles, knees and leg . Pain and pins and needles. Worsened at night. Tingling in fingers. 1:) Urgent care 2.) ER Dept 3.) Primary Care Dr. suspected Guillian Barre


Changed on 5/7/2021

VAERS ID: 1262491 Before After
VAERS Form:2
Age:59.0
Sex:Female
Location:Michigan
Vaccinated:2021-03-19
Onset:2021-03-24
Submitted:0000-00-00
Entered:2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1802068 / 1 - / IM

Administered by: Other      Purchased by: ??
Symptoms: Chest X-ray, Electrocardiogram, Full blood count, Guillain-Barre syndrome, Pain, Paraesthesia, Sensory disturbance

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: multivitamin
Current Illness: none
Preexisting Conditions: none
Allergies: sulfa, walnuts, apples apples
Diagnostic Lab Data: Complete blood panel, chest x-ray, EKG
CDC 'Split Type':

Write-up: Onset of symptoms: piercing sensation in legs, feet, ankles, knees and leg . Pain and pins and needles. Worsened at night. Tingling in fingers. 1:) Urgent care 2.) ER Dept 3.) Primary Care Dr. suspected Guillian Barre


Changed on 5/14/2021

VAERS ID: 1262491 Before After
VAERS Form:2
Age:59.0
Sex:Female
Location:Michigan
Vaccinated:2021-03-19
Onset:2021-03-24
Submitted:0000-00-00
Entered:2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1802068 / 1 - / IM

Administered by: Other      Purchased by: ??
Symptoms: Chest X-ray, Electrocardiogram, Full blood count, Guillain-Barre syndrome, Pain, Paraesthesia, Sensory disturbance

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: multivitamin
Current Illness: none
Preexisting Conditions: none
Allergies: sulfa, walnuts, apples apples
Diagnostic Lab Data: Complete blood panel, chest x-ray, EKG
CDC 'Split Type':

Write-up: Onset of symptoms: piercing sensation in legs, feet, ankles, knees and leg . Pain and pins and needles. Worsened at night. Tingling in fingers. 1:) Urgent care 2.) ER Dept 3.) Primary Care Dr. suspected Guillian Barre


Changed on 6/25/2021

VAERS ID: 1262491 Before After
VAERS Form:2
Age:59.0
Sex:Female
Location:Michigan
Vaccinated:2021-03-19
Onset:2021-03-24
Submitted:0000-00-00
Entered:2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1802068 / 1 - / IM

Administered by: Other      Purchased by: ??
Symptoms: Chest X-ray, Electrocardiogram, Full blood count, Guillain-Barre syndrome, Pain, Paraesthesia, Sensory disturbance

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: multivitamin
Current Illness: none
Preexisting Conditions: none
Allergies: sulfa, walnuts, apples
Diagnostic Lab Data: Complete blood panel, chest x-ray, EKG
CDC 'Split Type':

Write-up: Onset of symptoms: piercing sensation in legs, feet, ankles, knees and leg . Pain and pins and needles. Worsened at night. Tingling in fingers. 1:) Urgent care 2.) ER Dept 3.) Primary Care Dr. suspected Guillian Barre


Changed on 7/30/2021

VAERS ID: 1262491 Before After
VAERS Form:2
Age:59.0
Sex:Female
Location:Michigan
Vaccinated:2021-03-19
Onset:2021-03-24
Submitted:0000-00-00
Entered:2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1802068 / 1 - / IM

Administered by: Other      Purchased by: ??
Symptoms: Chest X-ray, Electrocardiogram, Full blood count, Guillain-Barre syndrome, Pain, Paraesthesia, Sensory disturbance

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: multivitamin
Current Illness: none
Preexisting Conditions: none
Allergies: sulfa, walnuts, apples
Diagnostic Lab Data: Complete blood panel, chest x-ray, EKG
CDC 'Split Type':

Write-up: Onset of symptoms: piercing sensation in legs, feet, ankles, knees and leg . Pain and pins and needles. Worsened at night. Tingling in fingers. 1:) Urgent care 2.) ER Dept 3.) Primary Care Dr. suspected Guillian Barre

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1262491&WAYBACKHISTORY=ON


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