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History of Changes from the VAERS Wayback Machine |
VAERS ID: | 1205906 |
VAERS Form: | 2 |
Age: | 34.0 |
Sex: | Female |
Location: | Indiana |
Vaccinated: | 2021-04-01 |
Onset: | 2021-04-01 |
Submitted: | 0000-00-00 |
Entered: | 2021-04-13 |
Vaccination / Manufacturer (1 vaccine) | Lot / Dose | Site / Route |
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN | - / 1 | LA / SYR |
Administered by: Private Purchased by: ??
Symptoms: Arthralgia, Asthenia, Breast feeding, Chills, Fatigue, Hyperhidrosis, Muscular weakness, Nausea, Pyrexia, Sick relative
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:
Other Medications: Prenatal vitamins
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data:
CDC 'Split Type':
Write-up: Became tired around 8pm, followed by chills, fever 101.8, sweats(taken around 12:30am), weakness, joint pain, and nausea. The fever and chills lasted around 5 hours. The following day I was weak in my hands and joints were sore. I am a breastfeeding mom and my son broke out in a rash the following day. He was brought to the doctor. No data to show a correlation though.
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