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This is VAERS ID 1264371

History of Changes from the VAERS Wayback Machine

First Appeared on 4/30/2021

VAERS ID: 1264371
VAERS Form:2
Age:23.0
Sex:Female
Location:Minnesota
Vaccinated:2021-04-11
Onset:2021-04-21
Submitted:0000-00-00
Entered:2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / SYR

Administered by: Unknown      Purchased by: ??
Symptoms: Cough, Fatigue, Headache, Pain, Pyrexia, Sinus congestion, Respiratory symptom, COVID-19, SARS-CoV-2 test positive

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: None
Current Illness: None
Preexisting Conditions: None
Allergies: No
Diagnostic Lab Data: Covid test on April 22nd. Positive result received on April 24th, 8:15pm
CDC 'Split Type':

Write-up: The day after, started with mild headache and fatigue. On or about April 21st, she started having upper respiratory symptoms, cough, sinus congestion, fever and aches. She tested positive for COVID on April 22nd.


Changed on 5/7/2021

VAERS ID: 1264371 Before After
VAERS Form:2
Age:23.0
Sex:Female
Location:Minnesota
Vaccinated:2021-04-11
Onset:2021-04-21
Submitted:0000-00-00
Entered:2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / SYR

Administered by: Unknown      Purchased by: ??
Symptoms: Cough, Fatigue, Headache, Pain, Pyrexia, Sinus congestion, Respiratory symptom, COVID-19, SARS-CoV-2 test positive

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: None
Current Illness: None
Preexisting Conditions: None
Allergies: No No
Diagnostic Lab Data: Covid test on April 22nd. Positive result received on April 24th, 8:15pm
CDC 'Split Type':

Write-up: The day after, started with mild headache and fatigue. On or about April 21st, she started having upper respiratory symptoms, cough, sinus congestion, fever and aches. She tested positive for COVID on April 22nd.


Changed on 5/14/2021

VAERS ID: 1264371 Before After
VAERS Form:2
Age:23.0
Sex:Female
Location:Minnesota
Vaccinated:2021-04-11
Onset:2021-04-21
Submitted:0000-00-00
Entered:2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / SYR

Administered by: Unknown      Purchased by: ??
Symptoms: Cough, Fatigue, Headache, Pain, Pyrexia, Sinus congestion, Respiratory symptom, COVID-19, SARS-CoV-2 test positive

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: None
Current Illness: None
Preexisting Conditions: None
Allergies: No No
Diagnostic Lab Data: Covid test on April 22nd. Positive result received on April 24th, 8:15pm
CDC 'Split Type':

Write-up: The day after, started with mild headache and fatigue. On or about April 21st, she started having upper respiratory symptoms, cough, sinus congestion, fever and aches. She tested positive for COVID on April 22nd.

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1264371&WAYBACKHISTORY=ON


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