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This is VAERS ID 1099034

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History of Changes from the VAERS Wayback Machine

First Appeared on 4/1/2021

VAERS ID: 1099034
VAERS Form:2
Age:33.0
Sex:Female
Location:Illinois
Vaccinated:2021-03-13
Onset:2021-03-13
Submitted:0000-00-00
Entered:2021-03-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805020 / 1 LA / SYR

Administered by: Public      Purchased by: ??
Symptoms: Chills, Headache, Pregnancy, Premature labour, White blood cell count normal, Blood test normal, Immediate post-injection reaction, Exposure during pregnancy

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? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Keppra, Luvox , ability, prenatal vitamin
Current Illness: None
Preexisting Conditions: SVT
Allergies: None
Diagnostic Lab Data: Blood work was done to check white blood cell count for infection. The white blood cell count was in normal range. Collected and resulted 3/13/2021
CDC 'Split Type':

Write-up: 30 weeks pregnant at time of receiving vaccine. Estimated due date May 20, 2021 Had dull headache immediately following vaccine. At 4pm I had chills and then started having contractions every 5 minutes. I called my OBGYN who recommended that I drink fluids and lay on my side to decrease the presumed Braxton Hicks contractions. This did not decrease the contractions. I came to the hospital where I was admitted to labor and delivery with contractions 2-4 minutes apart and a 99.6 degree temperature. I was given an oral medication to stop the contractions, a 2 part series of injections to speed up lung development of my unborn child, and IV fluids were administered.


Changed on 5/7/2021

VAERS ID: 1099034 Before After
VAERS Form:2
Age:33.0
Sex:Female
Location:Illinois
Vaccinated:2021-03-13
Onset:2021-03-13
Submitted:0000-00-00
Entered:2021-03-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805020 / 1 LA / SYR

Administered by: Public      Purchased by: ??
Symptoms: Chills, Headache, Pregnancy, Premature labour, White blood cell count normal, Blood test normal, Immediate post-injection reaction, Exposure during pregnancy

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? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Keppra, Luvox , ability, prenatal vitamin
Current Illness: None
Preexisting Conditions: SVT
Allergies: None None
Diagnostic Lab Data: Blood work was done to check white blood cell count for infection. The white blood cell count was in normal range. Collected and resulted 3/13/2021
CDC 'Split Type':

Write-up: 30 weeks pregnant at time of receiving vaccine. Estimated due date May 20, 2021 Had dull headache immediately following vaccine. At 4pm I had chills and then started having contractions every 5 minutes. I called my OBGYN who recommended that I drink fluids and lay on my side to decrease the presumed Braxton Hicks contractions. This did not decrease the contractions. I came to the hospital where I was admitted to labor and delivery with contractions 2-4 minutes apart and a 99.6 degree temperature. I was given an oral medication to stop the contractions, a 2 part series of injections to speed up lung development of my unborn child, and IV fluids were administered.


Changed on 5/21/2021

VAERS ID: 1099034 Before After
VAERS Form:2
Age:33.0
Sex:Female
Location:Illinois
Vaccinated:2021-03-13
Onset:2021-03-13
Submitted:0000-00-00
Entered:2021-03-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805020 / 1 LA / SYR

Administered by: Public      Purchased by: ??
Symptoms: Chills, Headache, Pregnancy, Premature labour, White blood cell count normal, Blood test normal, Immediate post-injection reaction, Exposure during pregnancy

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? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Keppra, Luvox , ability, prenatal vitamin
Current Illness: None
Preexisting Conditions: SVT
Allergies: None None
Diagnostic Lab Data: Blood work was done to check white blood cell count for infection. The white blood cell count was in normal range. Collected and resulted 3/13/2021
CDC 'Split Type':

Write-up: 30 weeks pregnant at time of receiving vaccine. Estimated due date May 20, 2021 Had dull headache immediately following vaccine. At 4pm I had chills and then started having contractions every 5 minutes. I called my OBGYN who recommended that I drink fluids and lay on my side to decrease the presumed Braxton Hicks contractions. This did not decrease the contractions. I came to the hospital where I was admitted to labor and delivery with contractions 2-4 minutes apart and a 99.6 degree temperature. I was given an oral medication to stop the contractions, a 2 part series of injections to speed up lung development of my unborn child, and IV fluids were administered.

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