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This is VAERS ID 1131307

History of Changes from the VAERS Wayback Machine

First Appeared on 4/1/2021

VAERS ID: 1131307
VAERS Form:2
Age:53.0
Sex:Male
Location:California
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 1805020 / 1 LA / IM

Administered by: Public      Purchased by: ??
Symptoms: Dizziness, Nausea

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: None
Current Illness: None
Preexisting Conditions: None
Allergies: No
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Nausea and lightheadedness, increased blood pressure 155/101 and heart rate 113. Pt monitored and BP down to 134/90 feeling better after monitoring.

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1131307&WAYBACKHISTORY=ON


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