National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 1074822

History of Changes from the VAERS Wayback Machine

First Appeared on 3/11/2021

VAERS ID: 1074822
VAERS Form:2
Age:46.0
Sex:Female
Location:Iowa
Vaccinated:2021-03-05
Onset:2021-03-05
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

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)? 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


Changed on 5/7/2021

VAERS ID: 1074822 Before After
VAERS Form:2
Age:46.0
Sex:Female
Location:Iowa
Vaccinated:2021-03-05
Onset:2021-03-05
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

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Not known
Current Illness: Anxiety, migraines
Preexisting Conditions: Anxiety
Allergies: Nka 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


Changed on 5/14/2021

VAERS ID: 1074822 Before After
VAERS Form:2
Age:46.0
Sex:Female
Location:Iowa
Vaccinated:2021-03-05
Onset:2021-03-05
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

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Not known
Current Illness: Anxiety, migraines
Preexisting Conditions: Anxiety
Allergies: Nka 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

New Search

Link To This Search Result:

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


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