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This is VAERS ID 1130047

History of Changes from the VAERS Wayback Machine

First Appeared on 4/1/2021

VAERS ID: 1130047
VAERS Form:2
Age:82.0
Sex:Female
Location:Illinois
Vaccinated:2021-03-15
Onset:2021-03-24
Submitted:0000-00-00
Entered:2021-03-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805025 / 1 - / IM

Administered by: Other      Purchased by: ??
Symptoms: Dizziness

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: Eliquis combigan vitamin d coq10 vit b12 cardizem cd trusopt lexapro cozaar nitrostat prilosec actos crestor
Current Illness:
Preexisting Conditions:
Allergies: barbituates codeine penicillins
Diagnostic Lab Data: pending
CDC 'Split Type':

Write-up: 3/24/21 eval of dizziness . States sx started this morning . Was in hospital and transferred approx. 1 week ago for dehydration and a-fib. Denies nausea or vomiting.

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1130047&WAYBACKHISTORY=ON


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