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This is VAERS ID 1176844

History of Changes from the VAERS Wayback Machine

First Appeared on 4/16/2021

VAERS ID: 1176844
VAERS Form:2
Age:45.0
Sex:Female
Location:Illinois
Vaccinated:2021-04-07
Onset:2021-04-07
Submitted:0000-00-00
Entered:2021-04-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805018 / 1 LA / IM

Administered by: Work      Purchased by: ??
Symptoms: Blood pressure abnormal, Chest pain, Dizziness, Dry mouth, Dyspnoea, Nausea, Vomiting, Decreased appetite

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: unkown
Current Illness: no reported illnesses
Preexisting Conditions: Hypertension and Thyroid disease
Allergies: no allergies
Diagnostic Lab Data: BP 220/128 off of automated blood pressure monitor
CDC 'Split Type':

Write-up: Ten minutes after vaccination, patient experienced Chest pain, shortness of breath, dizziness, nausea and vomiting and dry mouth. Since 4:30 AM patient did not eat anything except for crackers and half of a granola bar


Changed on 5/7/2021

VAERS ID: 1176844 Before After
VAERS Form:2
Age:45.0
Sex:Female
Location:Illinois
Vaccinated:2021-04-07
Onset:2021-04-07
Submitted:0000-00-00
Entered:2021-04-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805018 / 1 LA / IM

Administered by: Work      Purchased by: ??
Symptoms: Blood pressure abnormal, Chest pain, Dizziness, Dry mouth, Dyspnoea, Nausea, Vomiting, Decreased appetite

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: unkown
Current Illness: no reported illnesses
Preexisting Conditions: Hypertension and Thyroid disease
Allergies: no allergies allergies
Diagnostic Lab Data: BP 220/128 off of automated blood pressure monitor
CDC 'Split Type':

Write-up: Ten minutes after vaccination, patient experienced Chest pain, shortness of breath, dizziness, nausea and vomiting and dry mouth. Since 4:30 AM patient did not eat anything except for crackers and half of a granola bar


Changed on 5/14/2021

VAERS ID: 1176844 Before After
VAERS Form:2
Age:45.0
Sex:Female
Location:Illinois
Vaccinated:2021-04-07
Onset:2021-04-07
Submitted:0000-00-00
Entered:2021-04-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805018 / 1 LA / IM

Administered by: Work      Purchased by: ??
Symptoms: Blood pressure abnormal, Chest pain, Dizziness, Dry mouth, Dyspnoea, Nausea, Vomiting, Decreased appetite

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: unkown
Current Illness: no reported illnesses
Preexisting Conditions: Hypertension and Thyroid disease
Allergies: no allergies allergies
Diagnostic Lab Data: BP 220/128 off of automated blood pressure monitor
CDC 'Split Type':

Write-up: Ten minutes after vaccination, patient experienced Chest pain, shortness of breath, dizziness, nausea and vomiting and dry mouth. Since 4:30 AM patient did not eat anything except for crackers and half of a granola bar

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1176844&WAYBACKHISTORY=ON

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