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This is VAERS ID 1089262

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History of Changes from the VAERS Wayback Machine

First Appeared on 3/26/2021

VAERS ID: 1089262
VAERS Form:2
Age:26.0
Sex:Female
Location:Oklahoma
Vaccinated:2021-03-10
Onset:2021-03-10
Submitted:0000-00-00
Entered:2021-03-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Pharmacy      Purchased by: ??
Symptoms: Rash, Throat tightness

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: Contrave
Current Illness: None
Preexisting Conditions: Obesity
Allergies: Latex, Strawberries, Avocado.
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Tightness in throat after 30 minutes, rash across chest. No previous adverse events to vaccinations previously.


Changed on 5/7/2021

VAERS ID: 1089262 Before After
VAERS Form:2
Age:26.0
Sex:Female
Location:Oklahoma
Vaccinated:2021-03-10
Onset:2021-03-10
Submitted:0000-00-00
Entered:2021-03-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Pharmacy      Purchased by: ??
Symptoms: Rash, Throat tightness

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: Contrave
Current Illness: None
Preexisting Conditions: Obesity
Allergies: Latex, Strawberries, Avocado. Avocado.
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Tightness in throat after 30 minutes, rash across chest. No previous adverse events to vaccinations previously.


Changed on 5/14/2021

VAERS ID: 1089262 Before After
VAERS Form:2
Age:26.0
Sex:Female
Location:Oklahoma
Vaccinated:2021-03-10
Onset:2021-03-10
Submitted:0000-00-00
Entered:2021-03-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Pharmacy      Purchased by: ??
Symptoms: Rash, Throat tightness

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: Contrave
Current Illness: None
Preexisting Conditions: Obesity
Allergies: Latex, Strawberries, Avocado. Avocado.
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Tightness in throat after 30 minutes, rash across chest. No previous adverse events to vaccinations previously.

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