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This is VAERS ID 1136438

History of Changes from the VAERS Wayback Machine

First Appeared on 4/1/2021

VAERS ID: 1136438
VAERS Form:2
Age:28.0
Sex:Female
Location:Wisconsin
Vaccinated:2021-03-25
Onset:2021-03-25
Submitted:0000-00-00
Entered:2021-03-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805031 / 1 LA / IM

Administered by: Public      Purchased by: ??
Symptoms: Dizziness, Vision blurred

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 were feeling "dizzy" and had some "blurred vision" during the first 15 minutes after the vaccination. Vitals were normal, no transport and walked out of building when recovered shortly afterwards.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1136438&WAYBACKHISTORY=ON


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