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This is VAERS ID 1395316

History of Changes from the VAERS Wayback Machine

First Appeared on 6/18/2021

VAERS ID: 1395316
VAERS Form:2
Age:30.0
Sex:Female
Location:Indiana
Vaccinated:2021-06-02
Onset:2021-06-03
Submitted:0000-00-00
Entered:2021-06-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / -

Administered by: Pharmacy      Purchased by: ??
Symptoms: Chest pain, Chills, Fatigue, Injection site rash, Pain, Pyrexia, Seizure, Vomiting, Hot flush

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: Bupropion, Spironolactone, Sprintec, Omeperzole, women''s multivitamin loo
Current Illness: Migraines
Preexisting Conditions: PCOS, Functional Neurological Disorder, Depression
Allergies: Midol, Pamprin
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Hot Flashes, chills, increase in non-epileptic Seizures, fever 103.7, body aches, rash around injection site, extreme exhaustion, vomiting, chest pain. Symptoms lasted 3 days with exception of rash, fever and chills which lasted 8days.

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