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From the 9/10/2021 release of VAERS data:

This is VAERS ID 1074822



Case Details

VAERS ID: 1074822 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: Iowa  
Vaccinated:2021-03-05
Onset:2021-03-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-03-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805018 / 1 LA / IM

Administered by: Work       Purchased by: ?
Symptoms: Chest pain, Dizziness, Respiratory rate increased, Retching
SMQs:, Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Vestibular disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Not known
Current Illness: Anxiety, migraines
Preexisting Conditions: Anxiety
Allergies: Nka
Diagnostic Lab Data: BP 180/90 O2 100 room air hr 84 Patient expressed history of anxiety and sympotoms of chest pain subsided she requested an ambulance and left via ambulance
CDC Split Type:

Write-up: Dizziness, lightheadedness, chest pain, increased respiration, gagging


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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1074822


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