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This is VAERS ID 1328522

History of Changes from the VAERS Wayback Machine

First Appeared on 5/21/2021

VAERS ID: 1328522
VAERS Form:2
Age:23.0
Sex:Female
Location:Georgia
Vaccinated:2021-05-18
Onset:2021-05-18
Submitted:0000-00-00
Entered:2021-05-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Pharmacy      Purchased by: ??
Symptoms: Back pain, Fatigue, Headache, Myalgia, Paraesthesia, Tinnitus, Sensitive skin

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: Adderall XR 60 mg 2ce a day, seroquel 200mg at night, prozac 40mg at night, amitriptyline 25 mg at night, zyrtec 10mg at night. Albuterol? When needed.
Current Illness:
Preexisting Conditions: Ocular migraines with aura, IBS, eczema, sports related asthma. OCD, ADHD. Low blood pressure: when I stand up too fast I cant see for like a minute. Occasional low blood sugar.
Allergies: Citric acid sensitivity
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Lower back pain started at approx 4:30. Muscle soreness through rest of body. Then skin began to feel tingly most everywhere, not painful but more so sensitive to touch? I feel physically fatigued. When I move too fast my ears start to ring in and out for a few times before settling. Headache.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1328522&WAYBACKHISTORY=ON


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