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This is VAERS ID 1136613

History of Changes from the VAERS Wayback Machine

First Appeared on 4/1/2021

VAERS ID: 1136613
VAERS Form:2
Age:41.0
Sex:Female
Location:Illinois
Vaccinated:2021-03-26
Onset:2021-03-26
Submitted:0000-00-00
Entered:2021-03-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805018 / 1 LA / IM

Administered by: Unknown      Purchased by: ??
Symptoms: Dizziness

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: N/A
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: UNK
Diagnostic Lab Data: BP 143/90
CDC 'Split Type':

Write-up: Patient complained of lightheadedness within 15 minutes of receiving vaccine. Patient was still in observation area at time of event. Blood pressure was WNL, gliucose testing was not available. Patient was given high sugar snack (candy bar) and felt better within 30 minutes. EMS was not contacted. No further issue.


Changed on 5/7/2021

VAERS ID: 1136613 Before After
VAERS Form:2
Age:41.0
Sex:Female
Location:Illinois
Vaccinated:2021-03-26
Onset:2021-03-26
Submitted:0000-00-00
Entered:2021-03-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805018 / 1 LA / IM

Administered by: Unknown      Purchased by: ??
Symptoms: Dizziness

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: N/A
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: UNK UNK
Diagnostic Lab Data: BP 143/90
CDC 'Split Type':

Write-up: Patient complained of lightheadedness within 15 minutes of receiving vaccine. Patient was still in observation area at time of event. Blood pressure was WNL, gliucose testing was not available. Patient was given high sugar snack (candy bar) and felt better within 30 minutes. EMS was not contacted. No further issue.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1136613&WAYBACKHISTORY=ON


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