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This is VAERS ID 1266690

History of Changes from the VAERS Wayback Machine

First Appeared on 4/30/2021

VAERS ID: 1266690
VAERS Form:2
Age:60.0
Sex:Female
Location:New York
Vaccinated:2021-04-06
Onset:2021-04-19
Submitted:0000-00-00
Entered:2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

Administered by: Other      Purchased by: ??
Symptoms: Dizziness, Muscular weakness, Pain in extremity, Paraesthesia

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: Allergy to penicillin. Also airborne allergies and sensitivity to medication.
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: On and off symptoms include: light headedness, light weakness/tingle on the underside of my left arm, on and off achey weakness in right hand too. It started on day 12, 13, 15 (up to two weeks after vaccination). Symptoms went away and returned at night on April 27 and throughout the day on April 28, 2021. I was borne with mitral valve prolapse (no work/life restrictions) and wondered if the vaccine has any connection to the mitral valve prolapse.


Changed on 5/7/2021

VAERS ID: 1266690 Before After
VAERS Form:2
Age:60.0
Sex:Female
Location:New York
Vaccinated:2021-04-06
Onset:2021-04-19
Submitted:0000-00-00
Entered:2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

Administered by: Other      Purchased by: ??
Symptoms: Dizziness, Muscular weakness, Pain in extremity, Paraesthesia

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: Allergy to penicillin. Also airborne allergies and sensitivity to medication. medication.
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: On and off symptoms include: light headedness, light weakness/tingle on the underside of my left arm, on and off achey weakness in right hand too. It started on day 12, 13, 15 (up to two weeks after vaccination). Symptoms went away and returned at night on April 27 and throughout the day on April 28, 2021. I was borne with mitral valve prolapse (no work/life restrictions) and wondered if the vaccine has any connection to the mitral valve prolapse.


Changed on 5/14/2021

VAERS ID: 1266690 Before After
VAERS Form:2
Age:60.0
Sex:Female
Location:New York
Vaccinated:2021-04-06
Onset:2021-04-19
Submitted:0000-00-00
Entered:2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

Administered by: Other      Purchased by: ??
Symptoms: Dizziness, Muscular weakness, Pain in extremity, Paraesthesia

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: Allergy to penicillin. Also airborne allergies and sensitivity to medication. medication.
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: On and off symptoms include: light headedness, light weakness/tingle on the underside of my left arm, on and off achey weakness in right hand too. It started on day 12, 13, 15 (up to two weeks after vaccination). Symptoms went away and returned at night on April 27 and throughout the day on April 28, 2021. I was borne with mitral valve prolapse (no work/life restrictions) and wondered if the vaccine has any connection to the mitral valve prolapse.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1266690&WAYBACKHISTORY=ON


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