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This is VAERS ID 1130953

History of Changes from the VAERS Wayback Machine

First Appeared on 4/1/2021

VAERS ID: 1130953
VAERS Form:2
Age:55.0
Sex:Female
Location:Florida
Vaccinated:2021-03-24
Onset:2021-03-24
Submitted:0000-00-00
Entered:2021-03-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808609 / 1 AR / IM

Administered by: Other      Purchased by: ??
Symptoms: Paraesthesia oral

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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: DIABETES, HYPERTENSION
Preexisting Conditions: DIABETES, HYPERTENSION
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type':

Write-up: TINGLING IN LIPS, RECEIVED 25MG BENADRYL X 2 DOSES WITH RELIEF. ADVISED TO CALL911 IF LIP OR TONGUE SWELLING OR DIFFICULTY BREATHING.

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1130953&WAYBACKHISTORY=ON


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