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This is VAERS ID 1437512

History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1437512
VAERS Form:2
Age:95.0
Sex:Female
Location:Missouri
Vaccinated:2021-06-24
Onset:2021-06-30
Submitted:0000-00-00
Entered:2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1821281 / 1 RA / -

Administered by: Pharmacy      Purchased by: ??
Symptoms: Urticaria

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: No known meds
Current Illness: No known illnesses
Preexisting Conditions: No known medical conditions
Allergies: No known allergies
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: Floris experienced two welts on her back, almost a week after receiving the shot.

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1437512&WAYBACKHISTORY=ON


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