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This is VAERS ID 1263852

History of Changes from the VAERS Wayback Machine

First Appeared on 4/30/2021

VAERS ID: 1263852
VAERS Form:2
Age:59.0
Sex:Female
Location:New Jersey
Vaccinated:2021-04-11
Onset:2021-04-19
Submitted:0000-00-00
Entered:2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / UNK - / -

Administered by: Other      Purchased by: ??
Symptoms: Computerised tomogram normal, Dizziness, Electrocardiogram normal, Fatigue, Headache, X-ray normal, Blood test normal

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: Ibuprofen 200 mg every four hours from April 19-23 Meclizine 3x a day Naproxen 500mg 2x a day
Current Illness: None
Preexisting Conditions: None
Allergies: Antihistamine 1 time on April 11 nighttime
Diagnostic Lab Data: According to doctor, EKG good, blood tests good, X-ray of both heart and lungs good, CT scan good
CDC 'Split Type':

Write-up: Headache, dizziness, lightheadedness, tiredness it?s persistent not going away since vaccination until now, will have a follow up with the doctor this week


Changed on 5/7/2021

VAERS ID: 1263852 Before After
VAERS Form:2
Age:59.0
Sex:Female
Location:New Jersey
Vaccinated:2021-04-11
Onset:2021-04-19
Submitted:0000-00-00
Entered:2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / UNK - / -

Administered by: Other      Purchased by: ??
Symptoms: Computerised tomogram normal, Dizziness, Electrocardiogram normal, Fatigue, Headache, X-ray normal, Blood test normal

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: Ibuprofen 200 mg every four hours from April 19-23 Meclizine 3x a day Naproxen 500mg 2x a day
Current Illness: None
Preexisting Conditions: None
Allergies: Antihistamine 1 time on April 11 nighttime nighttime
Diagnostic Lab Data: According to doctor, EKG good, blood tests good, X-ray of both heart and lungs good, CT scan good
CDC 'Split Type':

Write-up: Headache, dizziness, lightheadedness, tiredness it?s persistent not going away since vaccination until now, will have a follow up with the doctor this week


Changed on 5/14/2021

VAERS ID: 1263852 Before After
VAERS Form:2
Age:59.0
Sex:Female
Location:New Jersey
Vaccinated:2021-04-11
Onset:2021-04-19
Submitted:0000-00-00
Entered:2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / UNK - / -

Administered by: Other      Purchased by: ??
Symptoms: Computerised tomogram normal, Dizziness, Electrocardiogram normal, Fatigue, Headache, X-ray normal, Blood test normal

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: Ibuprofen 200 mg every four hours from April 19-23 Meclizine 3x a day Naproxen 500mg 2x a day
Current Illness: None
Preexisting Conditions: None
Allergies: Antihistamine 1 time on April 11 nighttime nighttime
Diagnostic Lab Data: According to doctor, EKG good, blood tests good, X-ray of both heart and lungs good, CT scan good
CDC 'Split Type':

Write-up: Headache, dizziness, lightheadedness, tiredness it?s persistent not going away since vaccination until now, will have a follow up with the doctor this week

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1263852&WAYBACKHISTORY=ON


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