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This is VAERS ID 1347630

History of Changes from the VAERS Wayback Machine

First Appeared on 5/28/2021

VAERS ID: 1347630
VAERS Form:2
Age:69.0
Sex:Female
Location:Michigan
Vaccinated:2021-03-19
Onset:2021-05-22
Submitted:0000-00-00
Entered:2021-05-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805025 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Computerised tomogram normal, Headache, Neuralgia, Pain in extremity

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: 1952 reaction to small pox vaccine, high fever and seizures at just over a year old.
Other Medications: Diltiazam, Hydroxychloroquine, Vitamin D3
Current Illness:
Preexisting Conditions: Sjogren''s, High blood pressure
Allergies: Sulsa, Penicillin, Cipro, Flagyl, Clindamycin, Bactrim, Septra, Cotrim, Terbinafine, Valsartan, Doxycycline Hyalite, Norvasc, Hydrochlorothiazide
Diagnostic Lab Data: CT scan for nerve issue, nothing found
CDC 'Split Type': vsafe

Write-up: Headache on my left side for a few weeks, Left arm still aches, sharp nerve issue

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