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This is VAERS ID 1135423

History of Changes from the VAERS Wayback Machine

First Appeared on 4/1/2021

VAERS ID: 1135423
VAERS Form:2
Age:45.0
Sex:Female
Location:Unknown
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: Public      Purchased by: ??
Symptoms: Fatigue, Headache, Vital signs measurement

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Brain Cancer (Pt had brain surgery 6 years ago) Headaches
Allergies: Milk, cheese, Advil
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient reports feeling tired and headaches. No lightheadedness, no hives or flushing. Patient was seen and assessed by EMS. BP 137/91, pulse 78, Spo2 100%, BS 152. Patient reports feeling better (symptoms improved) cleared by EMS


Changed on 5/7/2021

VAERS ID: 1135423 Before After
VAERS Form:2
Age:45.0
Sex:Female
Location:Unknown
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: Public      Purchased by: ??
Symptoms: Fatigue, Headache, Vital signs measurement

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Brain Cancer (Pt had brain surgery 6 years ago) Headaches
Allergies: Milk, cheese, Advil Advil
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient reports feeling tired and headaches. No lightheadedness, no hives or flushing. Patient was seen and assessed by EMS. BP 137/91, pulse 78, Spo2 100%, BS 152. Patient reports feeling better (symptoms improved) cleared by EMS

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1135423&WAYBACKHISTORY=ON


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