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This is VAERS ID 1078680

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History of Changes from the VAERS Wayback Machine

First Appeared on 3/11/2021

VAERS ID: 1078680
VAERS Form:2
Age:60.0
Sex:Female
Location:New York
Vaccinated:2021-03-06
Onset:2021-03-06
Submitted:0000-00-00
Entered:2021-03-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 AR / IM

Administered by: Unknown      Purchased by: ??
Symptoms: Blood pressure increased

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: lisinopril
Current Illness:
Preexisting Conditions: HTN
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: pt had elevated blood pressure that persisted. bp 20/114 and repeat 5 min later 232/126


Changed on 5/7/2021

VAERS ID: 1078680 Before After
VAERS Form:2
Age:60.0
Sex:Female
Location:New York
Vaccinated:2021-03-06
Onset:2021-03-06
Submitted:0000-00-00
Entered:2021-03-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 AR / IM

Administered by: Unknown      Purchased by: ??
Symptoms: Blood pressure increased

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: lisinopril
Current Illness:
Preexisting Conditions: HTN
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: pt had elevated blood pressure that persisted. bp 20/114 and repeat 5 min later 232/126


Changed on 5/14/2021

VAERS ID: 1078680 Before After
VAERS Form:2
Age:60.0
Sex:Female
Location:New York
Vaccinated:2021-03-06
Onset:2021-03-06
Submitted:0000-00-00
Entered:2021-03-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 AR / IM

Administered by: Unknown      Purchased by: ??
Symptoms: Blood pressure increased

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: lisinopril
Current Illness:
Preexisting Conditions: HTN
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: pt had elevated blood pressure that persisted. bp 20/114 and repeat 5 min later 232/126

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1078680&WAYBACKHISTORY=ON


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