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This is VAERS ID 1091361

History of Changes from the VAERS Wayback Machine

First Appeared on 3/26/2021

VAERS ID: 1091361
VAERS Form:2
Age:47.0
Sex:Female
Location:Maryland
Vaccinated:2021-03-09
Onset:2021-03-11
Submitted:0000-00-00
Entered:2021-03-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805022 / 1 LA / IM

Administered by: Other      Purchased by: ??
Symptoms: Electrocardiogram normal, Vertigo

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: aciphex; allegra; lexapro
Current Illness:
Preexisting Conditions: GERD
Allergies:
Diagnostic Lab Data: all EKG and blood tests came back normal
CDC 'Split Type':

Write-up: Repeated bouts of vertigo


Changed on 5/7/2021

VAERS ID: 1091361 Before After
VAERS Form:2
Age:47.0
Sex:Female
Location:Maryland
Vaccinated:2021-03-09
Onset:2021-03-11
Submitted:0000-00-00
Entered:2021-03-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805022 / 1 LA / IM

Administered by: Other      Purchased by: ??
Symptoms: Electrocardiogram normal, Vertigo

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: aciphex; allegra; lexapro
Current Illness:
Preexisting Conditions: GERD
Allergies:
Diagnostic Lab Data: all EKG and blood tests came back normal
CDC 'Split Type':

Write-up: Repeated bouts of vertigo


Changed on 5/14/2021

VAERS ID: 1091361 Before After
VAERS Form:2
Age:47.0
Sex:Female
Location:Maryland
Vaccinated:2021-03-09
Onset:2021-03-11
Submitted:0000-00-00
Entered:2021-03-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805022 / 1 LA / IM

Administered by: Other      Purchased by: ??
Symptoms: Electrocardiogram normal, Vertigo

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: aciphex; allegra; lexapro
Current Illness:
Preexisting Conditions: GERD
Allergies:
Diagnostic Lab Data: all EKG and blood tests came back normal
CDC 'Split Type':

Write-up: Repeated bouts of vertigo

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1091361&WAYBACKHISTORY=ON


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