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This is VAERS ID 1134359

History of Changes from the VAERS Wayback Machine

First Appeared on 4/1/2021

VAERS ID: 1134359
VAERS Form:2
Age:62.0
Sex:Female
Location:Texas
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 1808609 / 1 LA / IM

Administered by: Unknown      Purchased by: ??
Symptoms: Blood glucose normal, Dizziness, Fatigue, Hypotension

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: Synthroid, Cytomel
Current Illness:
Preexisting Conditions: Hypothyroid, Epilepsy
Allergies: Monocin
Diagnostic Lab Data: BP: 78/51, P: 52, Non- fasting Blood Glucose:175. 2nd BP: 111/72
CDC 'Split Type':

Write-up: Lightheaded, dizzy, fatigue, hypotension

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1134359&WAYBACKHISTORY=ON


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