National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 1073219

History of Changes from the VAERS Wayback Machine

First Appeared on 3/11/2021

VAERS ID: 1073219
VAERS Form:2
Age:24.0
Sex:Female
Location:Massachusetts
Vaccinated:2021-03-04
Onset:2021-03-04
Submitted:0000-00-00
Entered:2021-03-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Private      Purchased by: ??
Symptoms: Chills, Headache, Lethargy, Nausea

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: sertraline, montelykast, sprintec, claritin, B12, elderberry, apple cider vinegar, cranberry, Multivitamin
Current Illness: n/a
Preexisting Conditions: asthma
Allergies: n/a
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: nausea, headache, lethargic, chills


Changed on 5/7/2021

VAERS ID: 1073219 Before After
VAERS Form:2
Age:24.0
Sex:Female
Location:Massachusetts
Vaccinated:2021-03-04
Onset:2021-03-04
Submitted:0000-00-00
Entered:2021-03-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Private      Purchased by: ??
Symptoms: Chills, Headache, Lethargy, Nausea

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: sertraline, montelykast, sprintec, claritin, B12, elderberry, apple cider vinegar, cranberry, Multivitamin
Current Illness: n/a
Preexisting Conditions: asthma
Allergies: n/a n/a
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: nausea, headache, lethargic, chills

New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=1073219&WAYBACKHISTORY=ON


Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166