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This is VAERS ID 1079471

History of Changes from the VAERS Wayback Machine

First Appeared on 3/11/2021

VAERS ID: 1079471
VAERS Form:2
Age:76.0
Sex:Female
Location:Pennsylvania
Vaccinated:2021-03-05
Onset:2021-03-06
Submitted:0000-00-00
Entered:2021-03-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805020 / 1 RA / SYR

Administered by: Other      Purchased by: ??
Symptoms: Palpitations

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: ztampa13.5mg lyrica 50MG QD Tylenol 500mg BID olmsartab tizanadine
Current Illness: none known
Preexisting Conditions: pain HBP/palpataions arthritis
Allergies: NKA
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: heart palpatation


Changed on 5/7/2021

VAERS ID: 1079471 Before After
VAERS Form:2
Age:76.0
Sex:Female
Location:Pennsylvania
Vaccinated:2021-03-05
Onset:2021-03-06
Submitted:0000-00-00
Entered:2021-03-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805020 / 1 RA / SYR

Administered by: Other      Purchased by: ??
Symptoms: Palpitations

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: ztampa13.5mg lyrica 50MG QD Tylenol 500mg BID olmsartab tizanadine
Current Illness: none known
Preexisting Conditions: pain HBP/palpataions arthritis
Allergies: NKA NKA
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: heart palpatation


Changed on 5/14/2021

VAERS ID: 1079471 Before After
VAERS Form:2
Age:76.0
Sex:Female
Location:Pennsylvania
Vaccinated:2021-03-05
Onset:2021-03-06
Submitted:0000-00-00
Entered:2021-03-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805020 / 1 RA / SYR

Administered by: Other      Purchased by: ??
Symptoms: Palpitations

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: ztampa13.5mg lyrica 50MG QD Tylenol 500mg BID olmsartab tizanadine
Current Illness: none known
Preexisting Conditions: pain HBP/palpataions arthritis
Allergies: NKA NKA
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: heart palpatation

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