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This is VAERS ID 1264875

History of Changes from the VAERS Wayback Machine

First Appeared on 4/30/2021

VAERS ID: 1264875
VAERS Form:2
Age:58.0
Sex:Female
Location:Florida
Vaccinated:2021-04-16
Onset:2021-04-19
Submitted:0000-00-00
Entered:2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Unknown      Purchased by: ??
Symptoms: Hypoaesthesia

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: Multi vitamin, estradiol patch
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Third and forth toes on right foot went numb.


Changed on 5/7/2021

VAERS ID: 1264875 Before After
VAERS Form:2
Age:58.0
Sex:Female
Location:Florida
Vaccinated:2021-04-16
Onset:2021-04-19
Submitted:0000-00-00
Entered:2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Unknown      Purchased by: ??
Symptoms: Hypoaesthesia

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: Multi vitamin, estradiol patch
Current Illness: None
Preexisting Conditions: None
Allergies: None None
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Third and forth toes on right foot went numb.


Changed on 5/14/2021

VAERS ID: 1264875 Before After
VAERS Form:2
Age:58.0
Sex:Female
Location:Florida
Vaccinated:2021-04-16
Onset:2021-04-19
Submitted:0000-00-00
Entered:2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Unknown      Purchased by: ??
Symptoms: Hypoaesthesia

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: Multi vitamin, estradiol patch
Current Illness: None
Preexisting Conditions: None
Allergies: None None
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Third and forth toes on right foot went numb.

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1264875&WAYBACKHISTORY=ON


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