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This is VAERS ID 1091276

History of Changes from the VAERS Wayback Machine

First Appeared on 3/26/2021

VAERS ID: 1091276
VAERS Form:2
Age:37.0
Sex:Female
Location:Texas
Vaccinated:2021-03-11
Onset:2021-03-11
Submitted:0000-00-00
Entered:2021-03-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / -

Administered by: Unknown      Purchased by: ??
Symptoms: Confusional state, Feeling drunk, Loss of consciousness

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Passed out, confused, loopy like they Drunk.


Changed on 5/7/2021

VAERS ID: 1091276 Before After
VAERS Form:2
Age:37.0
Sex:Female
Location:Texas
Vaccinated:2021-03-11
Onset:2021-03-11
Submitted:0000-00-00
Entered:2021-03-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / -

Administered by: Unknown      Purchased by: ??
Symptoms: Confusional state, Feeling drunk, Loss of consciousness

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Passed out, confused, loopy like they Drunk.


Changed on 5/14/2021

VAERS ID: 1091276 Before After
VAERS Form:2
Age:37.0
Sex:Female
Location:Texas
Vaccinated:2021-03-11
Onset:2021-03-11
Submitted:0000-00-00
Entered:2021-03-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / -

Administered by: Unknown      Purchased by: ??
Symptoms: Confusional state, Feeling drunk, Loss of consciousness

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Passed out, confused, loopy like they Drunk.

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1091276&WAYBACKHISTORY=ON


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