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This is VAERS ID 1082777

History of Changes from the VAERS Wayback Machine

First Appeared on 3/19/2021

VAERS ID: 1082777
VAERS Form:2
Age:58.0
Sex:Female
Location:Texas
Vaccinated:2021-03-08
Onset:2021-03-08
Submitted:0000-00-00
Entered:2021-03-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805018 / 1 LA / IM

Administered by: Public      Purchased by: ??
Symptoms: Dizziness, Dyspnoea

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: Inhaler unknown name.
Current Illness:
Preexisting Conditions: COPD
Allergies: Cipro
Diagnostic Lab Data: N/A
CDC 'Split Type':

Write-up: SOB, Lightheaded Ipratropium Bromide 0.5mg/2.5ml nebs treatment given on site by EMS Patient transported to ER after treatment due to c/o SOB


Changed on 5/7/2021

VAERS ID: 1082777 Before After
VAERS Form:2
Age:58.0
Sex:Female
Location:Texas
Vaccinated:2021-03-08
Onset:2021-03-08
Submitted:0000-00-00
Entered:2021-03-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805018 / 1 LA / IM

Administered by: Public      Purchased by: ??
Symptoms: Dizziness, Dyspnoea

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: Inhaler unknown name.
Current Illness:
Preexisting Conditions: COPD
Allergies: Cipro Cipro
Diagnostic Lab Data: N/A
CDC 'Split Type':

Write-up: SOB, Lightheaded Ipratropium Bromide 0.5mg/2.5ml nebs treatment given on site by EMS Patient transported to ER after treatment due to c/o SOB


Changed on 5/14/2021

VAERS ID: 1082777 Before After
VAERS Form:2
Age:58.0
Sex:Female
Location:Texas
Vaccinated:2021-03-08
Onset:2021-03-08
Submitted:0000-00-00
Entered:2021-03-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805018 / 1 LA / IM

Administered by: Public      Purchased by: ??
Symptoms: Dizziness, Dyspnoea

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: Inhaler unknown name.
Current Illness:
Preexisting Conditions: COPD
Allergies: Cipro Cipro
Diagnostic Lab Data: N/A
CDC 'Split Type':

Write-up: SOB, Lightheaded Ipratropium Bromide 0.5mg/2.5ml nebs treatment given on site by EMS Patient transported to ER after treatment due to c/o SOB

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1082777&WAYBACKHISTORY=ON


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