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This is VAERS ID 1079934

History of Changes from the VAERS Wayback Machine

First Appeared on 3/11/2021

VAERS ID: 1079934
VAERS Form:2
Age:36.0
Sex:Female
Location:Massachusetts
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 1802072 / 1 LA / SYR

Administered by: Pharmacy      Purchased by: ??
Symptoms: Blood culture, Chest X-ray, Chills, Electrocardiogram, Heart rate increased, Nausea, Palpitations, Pyrexia, Laboratory test

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Metoprolol Mirena
Current Illness: None
Preexisting Conditions: Atrial Fibrillation since 11/2020
Allergies: None
Diagnostic Lab Data: All on 3/6/2021 Lab tests EKG twice Blood cultures Chest x-ray
CDC 'Split Type':

Write-up: Slight fever began around 4:30pm and I took Tylenol Had chills for about a half hour Around 5pm, I noticed my heart rate was elevated (avg. of 110) and I could feel palpitations while resting Felt well enough to eat dinner at 6pm I kept tracking heart rate and it continued to increase while at rest for prolonged period (120+) When it got into the 130s, went to the ER (around 7:45pm) to check for atrial fibrillation as I was still feeling palpitations Upon arrival, my heart rate was in the 150''s. Was given IV fluids and IV metoprolol tartrate Heart rate came down to 120''s While at the ER, I began to feel much worse Extremely nauseous and had chills Was barely Temperature reached 104.5 (rectal) around 10:00pm Given acetaminophen at 10:19pm Temperature came down Chills went away I was discharged around 12:00am


Changed on 5/7/2021

VAERS ID: 1079934 Before After
VAERS Form:2
Age:36.0
Sex:Female
Location:Massachusetts
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 1802072 / 1 LA / SYR

Administered by: Pharmacy      Purchased by: ??
Symptoms: Blood culture, Chest X-ray, Chills, Electrocardiogram, Heart rate increased, Nausea, Palpitations, Pyrexia, Laboratory test

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Metoprolol Mirena
Current Illness: None
Preexisting Conditions: Atrial Fibrillation since 11/2020
Allergies: None None
Diagnostic Lab Data: All on 3/6/2021 Lab tests EKG twice Blood cultures Chest x-ray
CDC 'Split Type':

Write-up: Slight fever began around 4:30pm and I took Tylenol Had chills for about a half hour Around 5pm, I noticed my heart rate was elevated (avg. of 110) and I could feel palpitations while resting Felt well enough to eat dinner at 6pm I kept tracking heart rate and it continued to increase while at rest for prolonged period (120+) When it got into the 130s, went to the ER (around 7:45pm) to check for atrial fibrillation as I was still feeling palpitations Upon arrival, my heart rate was in the 150''s. Was given IV fluids and IV metoprolol tartrate Heart rate came down to 120''s While at the ER, I began to feel much worse Extremely nauseous and had chills Was barely Temperature reached 104.5 (rectal) around 10:00pm Given acetaminophen at 10:19pm Temperature came down Chills went away I was discharged around 12:00am


Changed on 5/14/2021

VAERS ID: 1079934 Before After
VAERS Form:2
Age:36.0
Sex:Female
Location:Massachusetts
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 1802072 / 1 LA / SYR

Administered by: Pharmacy      Purchased by: ??
Symptoms: Blood culture, Chest X-ray, Chills, Electrocardiogram, Heart rate increased, Nausea, Palpitations, Pyrexia, Laboratory test

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Metoprolol Mirena
Current Illness: None
Preexisting Conditions: Atrial Fibrillation since 11/2020
Allergies: None None
Diagnostic Lab Data: All on 3/6/2021 Lab tests EKG twice Blood cultures Chest x-ray
CDC 'Split Type':

Write-up: Slight fever began around 4:30pm and I took Tylenol Had chills for about a half hour Around 5pm, I noticed my heart rate was elevated (avg. of 110) and I could feel palpitations while resting Felt well enough to eat dinner at 6pm I kept tracking heart rate and it continued to increase while at rest for prolonged period (120+) When it got into the 130s, went to the ER (around 7:45pm) to check for atrial fibrillation as I was still feeling palpitations Upon arrival, my heart rate was in the 150''s. Was given IV fluids and IV metoprolol tartrate Heart rate came down to 120''s While at the ER, I began to feel much worse Extremely nauseous and had chills Was barely Temperature reached 104.5 (rectal) around 10:00pm Given acetaminophen at 10:19pm Temperature came down Chills went away I was discharged around 12:00am

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