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This is VAERS ID 1752864

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/1/2021

VAERS ID: 1752864
VAERS Form:2
Age:42.0
Sex:Female
Location:California
Vaccinated:2021-09-30
Onset:2021-09-30
Submitted:0000-00-00
Entered:2021-10-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Private      Purchased by: ??
Symptoms: Discomfort, Eye irritation, Fatigue, Headache, Musculoskeletal pain, Nasal congestion, Pain, Pain in extremity, Sleep disorder

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: Probiotics
Current Illness: None that aware of
Preexisting Conditions: Heart murmur
Allergies: Not that aware of
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Became extremely tired a few hours after administration of the Jansen. At approximately 12am, 10/1, I was woken up w body aches, headache, stuffy nose, sore left arm & sore shoulder blade, burning eyes, inability to sleep due to overall discomfort.

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