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This is VAERS ID 1262805

History of Changes from the VAERS Wayback Machine

First Appeared on 4/30/2021

VAERS ID: 1262805
VAERS Form:2
Age:58.0
Sex:Female
Location:Florida
Vaccinated:2021-04-10
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / N/A LA / IM

Administered by: Other      Purchased by: ??
Symptoms: Chills, Headache, Muscle spasms, Pain, Posture abnormal, Pyrexia

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: Budesonide , Meloxicam, Gabapentin , Midol
Current Illness:
Preexisting Conditions: blood in stool, migraine , prediabetes, spinal stenosis, arthralgia, cervicalgia
Allergies: Vicodin
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: reported by patient stated that after 24 hour after receiving the J&J vaccine she " couldn''t lift her head, fever, chills, headache that comes and goes, body aches, leg cramps,


Changed on 5/7/2021

VAERS ID: 1262805 Before After
VAERS Form:2
Age:58.0
Sex:Female
Location:Florida
Vaccinated:2021-04-10
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / N/A LA / IM

Administered by: Other      Purchased by: ??
Symptoms: Chills, Headache, Muscle spasms, Pain, Posture abnormal, Pyrexia

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: Budesonide , Meloxicam, Gabapentin , Midol
Current Illness:
Preexisting Conditions: blood in stool, migraine , prediabetes, spinal stenosis, arthralgia, cervicalgia
Allergies: Vicodin Vicodin
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: reported by patient stated that after 24 hour after receiving the J&J vaccine she " couldn''t lift her head, fever, chills, headache that comes and goes, body aches, leg cramps,


Changed on 5/14/2021

VAERS ID: 1262805 Before After
VAERS Form:2
Age:58.0
Sex:Female
Location:Florida
Vaccinated:2021-04-10
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / N/A LA / IM

Administered by: Other      Purchased by: ??
Symptoms: Chills, Headache, Muscle spasms, Pain, Posture abnormal, Pyrexia

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: Budesonide , Meloxicam, Gabapentin , Midol
Current Illness:
Preexisting Conditions: blood in stool, migraine , prediabetes, spinal stenosis, arthralgia, cervicalgia
Allergies: Vicodin Vicodin
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: reported by patient stated that after 24 hour after receiving the J&J vaccine she " couldn''t lift her head, fever, chills, headache that comes and goes, body aches, leg cramps,

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1262805&WAYBACKHISTORY=ON


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