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This is VAERS ID 1174376

History of Changes from the VAERS Wayback Machine

First Appeared on 4/16/2021

VAERS ID: 1174376
VAERS Form:2
Age:30.0
Sex:Female
Location:North Carolina
Vaccinated:2021-04-06
Onset:2021-04-06
Submitted:0000-00-00
Entered:2021-04-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808609 / 1 RA / IM

Administered by: Military      Purchased by: ??
Symptoms: Chest discomfort, Chest pain, Cough, Dysphonia, Ultrasound chest, Throat clearing

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None reported
Allergies: Lidocaine
Diagnostic Lab Data: exam and bedside Lung ultrasound to eval for possible pneumothorax after coughing (though low clinical suspicion)
CDC 'Split Type':

Write-up: approximately 30 minutes after receiving vaccine pt had a coughing fit and then continued to have R sided chest pain/tightness causing continued throat clearing/coughing. Hoarse voice as well. We treated as allergic reaction with IV solumedrol 125mg, IV benadryl 25mg, and one 5mg Albuterol neb treatment with good resolution of symptoms.


Changed on 5/7/2021

VAERS ID: 1174376 Before After
VAERS Form:2
Age:30.0
Sex:Female
Location:North Carolina
Vaccinated:2021-04-06
Onset:2021-04-06
Submitted:0000-00-00
Entered:2021-04-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808609 / 1 RA / IM

Administered by: Military      Purchased by: ??
Symptoms: Chest discomfort, Chest pain, Cough, Dysphonia, Ultrasound chest, Throat clearing

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None reported
Allergies: Lidocaine Lidocaine
Diagnostic Lab Data: exam and bedside Lung ultrasound to eval for possible pneumothorax after coughing (though low clinical suspicion)
CDC 'Split Type':

Write-up: approximately 30 minutes after receiving vaccine pt had a coughing fit and then continued to have R sided chest pain/tightness causing continued throat clearing/coughing. Hoarse voice as well. We treated as allergic reaction with IV solumedrol 125mg, IV benadryl 25mg, and one 5mg Albuterol neb treatment with good resolution of symptoms.


Changed on 5/14/2021

VAERS ID: 1174376 Before After
VAERS Form:2
Age:30.0
Sex:Female
Location:North Carolina
Vaccinated:2021-04-06
Onset:2021-04-06
Submitted:0000-00-00
Entered:2021-04-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808609 / 1 RA / IM

Administered by: Military      Purchased by: ??
Symptoms: Chest discomfort, Chest pain, Cough, Dysphonia, Ultrasound chest, Throat clearing

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None reported
Allergies: Lidocaine Lidocaine
Diagnostic Lab Data: exam and bedside Lung ultrasound to eval for possible pneumothorax after coughing (though low clinical suspicion)
CDC 'Split Type':

Write-up: approximately 30 minutes after receiving vaccine pt had a coughing fit and then continued to have R sided chest pain/tightness causing continued throat clearing/coughing. Hoarse voice as well. We treated as allergic reaction with IV solumedrol 125mg, IV benadryl 25mg, and one 5mg Albuterol neb treatment with good resolution of symptoms.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1174376&WAYBACKHISTORY=ON

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