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This is VAERS ID 1490959

History of Changes from the VAERS Wayback Machine

First Appeared on 7/23/2021

VAERS ID: 1490959
VAERS Form:2
Age:65.0
Sex:Female
Location:Illinois
Vaccinated:2021-07-17
Onset:2021-07-18
Submitted:0000-00-00
Entered:2021-07-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 - / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Injection site reaction, Injection site warmth, Pyrexia, Rash erythematous, Rash papular

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: COVID DIAGNOSIS DECEMBER 2020
CDC 'Split Type':

Write-up: RASH AT INJECTION SITE WARM TO THE TOUCH, RAISED AND RED, NOT ITCHY. LOW FEVER APPROX 99.3,

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1490959&WAYBACKHISTORY=ON


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