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This is VAERS ID 1376462

History of Changes from the VAERS Wayback Machine

First Appeared on 6/11/2021

VAERS ID: 1376462
VAERS Form:2
Age:25.0
Sex:Female
Location:Missouri
Vaccinated:2021-06-04
Onset:2021-06-04
Submitted:0000-00-00
Entered:2021-06-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1821288 / 2 RA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Headache, Nausea

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: not listed
Current Illness: none known
Preexisting Conditions: no
Allergies: NKA
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: After vaccine was administered, approximately 10 minutes went by, patient complained of a bad headache and nausea

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1376462&WAYBACKHISTORY=ON


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