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This is VAERS ID 1078696

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History of Changes from the VAERS Wayback Machine

First Appeared on 3/11/2021

VAERS ID: 1078696
VAERS Form:2
Age:71.0
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 1805021 / UNK - / -

Administered by: Unknown      Purchased by: ??
Symptoms: Abdominal pain, Blood pressure increased, Nausea, Rash

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:
Current Illness:
Preexisting Conditions: asthma, htn
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt developed a rash on her finger that spread to her wrist. Benadryl 25mg was given.. the rash improved. Pt blood pressure elevated 195/113, repeat 207/117. Pt developed nausea and abdominal pain. Pt was transported to the ER


Changed on 5/7/2021

VAERS ID: 1078696 Before After
VAERS Form:2
Age:71.0
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 1805021 / UNK - / -

Administered by: Unknown      Purchased by: ??
Symptoms: Abdominal pain, Blood pressure increased, Nausea, Rash

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:
Current Illness:
Preexisting Conditions: asthma, htn
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt developed a rash on her finger that spread to her wrist. Benadryl 25mg was given.. the rash improved. Pt blood pressure elevated 195/113, repeat 207/117. Pt developed nausea and abdominal pain. Pt was transported to the ER


Changed on 5/14/2021

VAERS ID: 1078696 Before After
VAERS Form:2
Age:71.0
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 1805021 / UNK - / -

Administered by: Unknown      Purchased by: ??
Symptoms: Abdominal pain, Blood pressure increased, Nausea, Rash

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:
Current Illness:
Preexisting Conditions: asthma, htn
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt developed a rash on her finger that spread to her wrist. Benadryl 25mg was given.. the rash improved. Pt blood pressure elevated 195/113, repeat 207/117. Pt developed nausea and abdominal pain. Pt was transported to the ER

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