National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 1089229

History of Changes from the VAERS Wayback Machine

First Appeared on 3/26/2021

VAERS ID: 1089229
VAERS Form:2
Age:32.0
Sex:Male
Location:Texas
Vaccinated:2021-03-08
Onset:2021-03-09
Submitted:0000-00-00
Entered:2021-03-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805025 / 1 LA / IM

Administered by: Unknown      Purchased by: ??
Symptoms: Chest X-ray, Dyspnoea, Electrocardiogram, Fatigue, Respiratory rate decreased, Laboratory test

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: omeprazole 20mg, lisinopril 20mg, atorvastatin 20mg, singulair 10mg, albuterol 90mcg, vitamin d2 1250 mcg,
Current Illness:
Preexisting Conditions: asthma, sleep apnea, chronic gastroparesis,
Allergies:
Diagnostic Lab Data: ekg, chest xray, lab panel
CDC 'Split Type':

Write-up: tiredness, breathing heavy, low raspatory rate


Changed on 5/7/2021

VAERS ID: 1089229 Before After
VAERS Form:2
Age:32.0
Sex:Male
Location:Texas
Vaccinated:2021-03-08
Onset:2021-03-09
Submitted:0000-00-00
Entered:2021-03-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805025 / 1 LA / IM

Administered by: Unknown      Purchased by: ??
Symptoms: Chest X-ray, Dyspnoea, Electrocardiogram, Fatigue, Respiratory rate decreased, Laboratory test

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: omeprazole 20mg, lisinopril 20mg, atorvastatin 20mg, singulair 10mg, albuterol 90mcg, vitamin d2 1250 mcg,
Current Illness:
Preexisting Conditions: asthma, sleep apnea, chronic gastroparesis,
Allergies:
Diagnostic Lab Data: ekg, chest xray, lab panel
CDC 'Split Type':

Write-up: tiredness, breathing heavy, low raspatory rate


Changed on 5/14/2021

VAERS ID: 1089229 Before After
VAERS Form:2
Age:32.0
Sex:Male
Location:Texas
Vaccinated:2021-03-08
Onset:2021-03-09
Submitted:0000-00-00
Entered:2021-03-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805025 / 1 LA / IM

Administered by: Unknown      Purchased by: ??
Symptoms: Chest X-ray, Dyspnoea, Electrocardiogram, Fatigue, Respiratory rate decreased, Laboratory test

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: omeprazole 20mg, lisinopril 20mg, atorvastatin 20mg, singulair 10mg, albuterol 90mcg, vitamin d2 1250 mcg,
Current Illness:
Preexisting Conditions: asthma, sleep apnea, chronic gastroparesis,
Allergies:
Diagnostic Lab Data: ekg, chest xray, lab panel
CDC 'Split Type':

Write-up: tiredness, breathing heavy, low raspatory rate

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1089229&WAYBACKHISTORY=ON


Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166