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This is VAERS ID 1693540

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History of Changes from the VAERS Wayback Machine

First Appeared on 9/17/2021

VAERS ID: 1693540
VAERS Form:2
Age:71.0
Sex:Female
Location:Florida
Vaccinated:2021-09-10
Onset:2021-09-10
Submitted:0000-00-00
Entered:2021-09-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1820095 / 1 LA / SYR

Administered by: Private      Purchased by: ??
Symptoms: Chills, Gait disturbance, Headache, Pain, Pyrexia, Tremor

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: Flu vaccine at age of 12 yrs. of age, similar symptoms.
Other Medications: Metoprolol Tylenol, isosorbide mononitrate, Rosuvastatin, montelukast, acyclovir
Current Illness: None
Preexisting Conditions: micro vascular coronary disease recently diagnosed.
Allergies: Flu vaccines, caffeine, penicillin, fish, dust
Diagnostic Lab Data: None made.
CDC 'Split Type':

Write-up: Within 12 hours had severe chills with body shaking tremors, fever of over 100 degrees, body aches, head ache and difficult to walk. Body shakes lasted two hours until the Tylenol kicked in. Body aches and head ache lasted another 10 hours or so.

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