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This is VAERS ID 1092238

History of Changes from the VAERS Wayback Machine

First Appeared on 3/26/2021

VAERS ID: 1092238
VAERS Form:2
Age:76.0
Sex:Female
Location:Ohio
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 1805029 / N/A RA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Dizziness, Syncope

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:
Current Illness:
Preexisting Conditions: cancer
Allergies:
Diagnostic Lab Data: Sent to hospital as precaution
CDC 'Split Type':

Write-up: Pt fainted and remained dizzy.


Changed on 5/7/2021

VAERS ID: 1092238 Before After
VAERS Form:2
Age:76.0
Sex:Female
Location:Ohio
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 1805029 / N/A RA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Dizziness, Syncope

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:
Current Illness:
Preexisting Conditions: cancer
Allergies:
Diagnostic Lab Data: Sent to hospital as precaution
CDC 'Split Type':

Write-up: Pt fainted and remained dizzy.


Changed on 5/14/2021

VAERS ID: 1092238 Before After
VAERS Form:2
Age:76.0
Sex:Female
Location:Ohio
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 1805029 / N/A RA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Dizziness, Syncope

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:
Current Illness:
Preexisting Conditions: cancer
Allergies:
Diagnostic Lab Data: Sent to hospital as precaution
CDC 'Split Type':

Write-up: Pt fainted and remained dizzy.

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1092238&WAYBACKHISTORY=ON


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