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This is VAERS ID 1136447

History of Changes from the VAERS Wayback Machine

First Appeared on 4/1/2021

VAERS ID: 1136447
VAERS Form:2
Age:32.0
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, Hot flush

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 that they felt "light-headed and had hot flashes" about 10 minutes after vaccine administration. No transport was needed, and patient recovered shortly and walked out of the clinic.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1136447&WAYBACKHISTORY=ON


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