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This is VAERS ID 1346440

History of Changes from the VAERS Wayback Machine

First Appeared on 5/28/2021

VAERS ID: 1346440
VAERS Form:2
Age:34.0
Sex:Female
Location:Massachusetts
Vaccinated:2021-05-22
Onset:2021-05-22
Submitted:0000-00-00
Entered:2021-05-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Chills, Dizziness, Gastrointestinal pain, Nausea, Pain, Pyrexia, Tremor, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Mirena IUD
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: I experienced body aches starting approximately 8 hours after vaccine was administered. This progressed to shaking chills with fever, intestinal cramping, lightheadedness and nausea and vomiting. Symptoms persisted for 24 hours.

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