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This is VAERS ID 1381727

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History of Changes from the VAERS Wayback Machine

First Appeared on 6/18/2021

VAERS ID: 1381727
VAERS Form:2
Age:44.0
Sex:Female
Location:New York
Vaccinated:2021-05-20
Onset:2021-05-31
Submitted:0000-00-00
Entered:2021-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808986 / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Headache, Venogram, Magnetic resonance imaging

Life Threatening? Yes
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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Sumatriptan, Excedrin Migraine
Current Illness: None
Preexisting Conditions: Migraines
Allergies: None
Diagnostic Lab Data: MRI and MRA Venogram
CDC 'Split Type':

Write-up: Severe headache for 1 week. Took OTC medications and Prescription medications with no effect

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