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This is VAERS ID 1132803

History of Changes from the VAERS Wayback Machine

First Appeared on 4/1/2021

VAERS ID: 1132803
VAERS Form:2
Age:26.0
Sex:Male
Location:Wisconsin
Vaccinated:2021-03-25
Onset:2021-03-25
Submitted:0000-00-00
Entered:2021-03-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805031 / 1 LA / IM

Administered by: Public      Purchased by: ??
Symptoms: Cold sweat, Dizziness, Hyperhidrosis

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: Patient stated they felt "lightheaded, clammy and sweaty". BP was 72/48, HR was 44, and O2 sat was 99%. Started about 10 minutes after receiving vaccination. No interventions needed and no transport. Recovered on own and was able to walk out of clinic.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1132803&WAYBACKHISTORY=ON


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