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This is VAERS ID 1470111

History of Changes from the VAERS Wayback Machine

First Appeared on 7/16/2021

VAERS ID: 1470111
VAERS Form:2
Age:64.0
Sex:Female
Location:Washington
Vaccinated:2021-07-02
Onset:2021-07-02
Submitted:0000-00-00
Entered:2021-07-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Arthralgia, Back pain, Chest discomfort, Condition aggravated, Neuropathy peripheral, Pain in extremity, Sensory disturbance, Impaired work ability, Laboratory test normal, Hypoaesthesia oral, Paraesthesia oral, Visceral pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations: Anaphylaxis, 64 years old, 12/29/21, Moderna Covid 19 vaccination.
Other Medications: Acyclovir, estrace cream, MSM, glucosamine, chondroitin, boron.
Current Illness: Chronic idiopathic peripheral neuropathy, chronic idiopathic urticaria, IBS.
Preexisting Conditions: See above.
Allergies: Moderna covid vaccine: anaphylactic reaction.
Diagnostic Lab Data: All negative, had neurological workup which was normal. Now waiting to see if I present with Guillia-Barre. Hope I can update this later if I do.
CDC 'Split Type':

Write-up: J and J vaccine: 40 min. after shot, my lower lip began to tingle, then went numb, next my upper lip, next nose felt funny. chest felt tight, no wheezing. Was still at Clinic so I went to Urgent care. I used my albuterol inhaler, chest tightness resolved. Treated in UC with solumedrol, famoditine, 1 liter NaCl. My allergist had me on 2 Zytec, and 2 famoditine the day of shot. Went to urgent care 7/5 for neuropathy. Saw neurologist on 7/8/21. Today is 12 days after the vaccination. My peripheral neuropathy is so bad I can''t work. I have constant pain in my shoulder girdle, lower back thighs, calves, feet, hands, and visceral. My PCP won''t give my any pain meds, my pain is 8/10.

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