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This is VAERS ID 1131436

History of Changes from the VAERS Wayback Machine

First Appeared on 4/1/2021

VAERS ID: 1131436
VAERS Form:2
Age:18.0
Sex:Female
Location:New York
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 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Abdominal pain upper, Dizziness, Feeling hot, Nausea, Vomiting

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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt started to feel hot and nauseous about 5 minutes after injection. Pt said her stomach ''hurt really bad'' and started to vomit a few minutes later. After several minutes, pt started to pass out, so moved her to the floor for safety. Several minutes after that, pt started to feel better. Soon after she was sitting up, and later, able to tolerate an orange juice, then leave on her own.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1131436&WAYBACKHISTORY=ON


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