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This is VAERS ID 1070055

History of Changes from the VAERS Wayback Machine

First Appeared on 3/11/2021

VAERS ID: 1070055
VAERS Form:2
Age:66.0
Sex:Female
Location:Ohio
Vaccinated:2021-03-02
Onset:2021-03-02
Submitted:0000-00-00
Entered:2021-03-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1802068 / 1 RA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Headache, Nausea, Vomiting

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:
CDC 'Split Type':

Write-up: Severe headache 10/10, nausea, vomiting, temp of 99 degrees F x 24 hours. waning at this time


Changed on 5/7/2021

VAERS ID: 1070055 Before After
VAERS Form:2
Age:66.0
Sex:Female
Location:Ohio
Vaccinated:2021-03-02
Onset:2021-03-02
Submitted:0000-00-00
Entered:2021-03-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1802068 / 1 RA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Headache, Nausea, Vomiting

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:
CDC 'Split Type':

Write-up: Severe headache 10/10, nausea, vomiting, temp of 99 degrees F x 24 hours. waning at this time

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Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=1070055&WAYBACKHISTORY=ON


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