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This is VAERS ID 1089346

History of Changes from the VAERS Wayback Machine

First Appeared on 3/26/2021

VAERS ID: 1089346
VAERS Form:2
Age:60.0
Sex:Male
Location:Florida
Vaccinated:2021-03-07
Onset:2021-03-07
Submitted:0000-00-00
Entered:2021-03-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805022 / 1 LA / -

Administered by: Pharmacy      Purchased by: ??
Symptoms: Blood pressure increased, Chest X-ray, Dizziness, Electrocardiogram, Full blood count, Troponin

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: Methotrexate, sulfasalizine, metoprolol, lisinopril, chlorthalidone, omeprazole, gabapentin
Current Illness: None
Preexisting Conditions: Rheumatoid arthritis, hypertension, hyperlipidemia
Allergies: None
Diagnostic Lab Data: Full CBC, Trop enzymes, EKG, chest x-ray all executed in the ER Hospital.
CDC 'Split Type':

Write-up: Substantial rise in blood pressure to 205/110. This was recorded 20 minutes after injection. The dizziness associated with the high blood pressure started within 5 minutes of the injection.


Changed on 5/7/2021

VAERS ID: 1089346 Before After
VAERS Form:2
Age:60.0
Sex:Male
Location:Florida
Vaccinated:2021-03-07
Onset:2021-03-07
Submitted:0000-00-00
Entered:2021-03-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805022 / 1 LA / -

Administered by: Pharmacy      Purchased by: ??
Symptoms: Blood pressure increased, Chest X-ray, Dizziness, Electrocardiogram, Full blood count, Troponin

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: Methotrexate, sulfasalizine, metoprolol, lisinopril, chlorthalidone, omeprazole, gabapentin
Current Illness: None
Preexisting Conditions: Rheumatoid arthritis, hypertension, hyperlipidemia
Allergies: None None
Diagnostic Lab Data: Full CBC, Trop enzymes, EKG, chest x-ray all executed in the ER Hospital.
CDC 'Split Type':

Write-up: Substantial rise in blood pressure to 205/110. This was recorded 20 minutes after injection. The dizziness associated with the high blood pressure started within 5 minutes of the injection.


Changed on 5/14/2021

VAERS ID: 1089346 Before After
VAERS Form:2
Age:60.0
Sex:Male
Location:Florida
Vaccinated:2021-03-07
Onset:2021-03-07
Submitted:0000-00-00
Entered:2021-03-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805022 / 1 LA / -

Administered by: Pharmacy      Purchased by: ??
Symptoms: Blood pressure increased, Chest X-ray, Dizziness, Electrocardiogram, Full blood count, Troponin

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: Methotrexate, sulfasalizine, metoprolol, lisinopril, chlorthalidone, omeprazole, gabapentin
Current Illness: None
Preexisting Conditions: Rheumatoid arthritis, hypertension, hyperlipidemia
Allergies: None None
Diagnostic Lab Data: Full CBC, Trop enzymes, EKG, chest x-ray all executed in the ER Hospital.
CDC 'Split Type':

Write-up: Substantial rise in blood pressure to 205/110. This was recorded 20 minutes after injection. The dizziness associated with the high blood pressure started within 5 minutes of the injection.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1089346&WAYBACKHISTORY=ON


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