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This is VAERS ID 1089689

History of Changes from the VAERS Wayback Machine

First Appeared on 4/1/2021

VAERS ID: 1089689
VAERS Form:2
Age:49.0
Sex:Female
Location:Texas
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 1805029 / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Heart rate increased, Malaise

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 20 mg once daily
Current Illness: None known
Preexisting Conditions:
Allergies: No known drug allergies
Diagnostic Lab Data: NA
CDC 'Split Type':

Write-up: Patient began feeling unwell and stated that she was experiencing rapid heart rate after receiving vaccine. Paramedics were called and patient was monitored in a seated position while awaiting emergency services. Patient was transported from the pharmacy via emergency services.


Changed on 5/7/2021

VAERS ID: 1089689 Before After
VAERS Form:2
Age:49.0
Sex:Female
Location:Texas
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 1805029 / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Heart rate increased, Malaise

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 20 mg once daily
Current Illness: None known
Preexisting Conditions:
Allergies: No known drug allergies allergies
Diagnostic Lab Data: NA
CDC 'Split Type':

Write-up: Patient began feeling unwell and stated that she was experiencing rapid heart rate after receiving vaccine. Paramedics were called and patient was monitored in a seated position while awaiting emergency services. Patient was transported from the pharmacy via emergency services.


Changed on 5/14/2021

VAERS ID: 1089689 Before After
VAERS Form:2
Age:49.0
Sex:Female
Location:Texas
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 1805029 / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Heart rate increased, Malaise

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 20 mg once daily
Current Illness: None known
Preexisting Conditions:
Allergies: No known drug allergies allergies
Diagnostic Lab Data: NA
CDC 'Split Type':

Write-up: Patient began feeling unwell and stated that she was experiencing rapid heart rate after receiving vaccine. Paramedics were called and patient was monitored in a seated position while awaiting emergency services. Patient was transported from the pharmacy via emergency services.

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1089689&WAYBACKHISTORY=ON


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