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This is VAERS ID 1178339

History of Changes from the VAERS Wayback Machine

First Appeared on 4/16/2021

VAERS ID: 1178339
VAERS Form:2
Age:37.0
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 043A21A / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Dizziness, Headache

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

Write-up: The patient got really red immediately following vaccination, she started to become woozy and have a headache. We gave her water and a dose of benadryl. We called the ambulance because symptoms kept worsening instead of resolving.


Changed on 5/7/2021

VAERS ID: 1178339 Before After
VAERS Form:2
Age:37.0
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 043A21A / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Dizziness, Headache

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

Write-up: The patient got really red immediately following vaccination, she started to become woozy and have a headache. We gave her water and a dose of benadryl. We called the ambulance because symptoms kept worsening instead of resolving.


Changed on 5/14/2021

VAERS ID: 1178339 Before After
VAERS Form:2
Age:37.0
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 043A21A / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Dizziness, Headache

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

Write-up: The patient got really red immediately following vaccination, she started to become woozy and have a headache. We gave her water and a dose of benadryl. We called the ambulance because symptoms kept worsening instead of resolving.

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1178339&WAYBACKHISTORY=ON

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