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This is VAERS ID 1178759

History of Changes from the VAERS Wayback Machine

First Appeared on 4/16/2021

VAERS ID: 1178759
VAERS Form:2
Age:50.0
Sex:Female
Location:Colorado
Vaccinated:2021-04-05
Onset:2021-04-05
Submitted:0000-00-00
Entered:2021-04-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808980 / 1 LA / SYR

Administered by: Other      Purchased by: ??
Symptoms: Fatigue, Headache, Influenza like illness, Nausea, Pain, Pyrexia, Syncope, Vomiting, Vital signs measurement

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Multivitamin, vitamin d, omega 3
Current Illness: None
Preexisting Conditions: None
Allergies: Latex allergy
Diagnostic Lab Data: Blood pressure, pulse, oxygen
CDC 'Split Type':

Write-up: Was waiting in the after injection parking lot for about 10 minutes, felt fine, and then it was like a fainting switch had been flipped without much warning. Was able to roll down my window and honk horn for emt in parking lot before fainting. Woke up to emt checking blood pressure, pulse and putting oxygen mask on. Then had to throw up, continue oxygen, sat and waited about 45 minutes until I felt like I could safely drive home. Had mild flu like symptoms starting about 3 hours later, became more moderate symptoms about 8 hours after injection - headache, fatigue, fever, body aches, nausea. Slept all next day, only remained. Still feel fatigue on Wednesday


Changed on 5/7/2021

VAERS ID: 1178759 Before After
VAERS Form:2
Age:50.0
Sex:Female
Location:Colorado
Vaccinated:2021-04-05
Onset:2021-04-05
Submitted:0000-00-00
Entered:2021-04-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808980 / 1 LA / SYR

Administered by: Other      Purchased by: ??
Symptoms: Fatigue, Headache, Influenza like illness, Nausea, Pain, Pyrexia, Syncope, Vomiting, Vital signs measurement

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Multivitamin, vitamin d, omega 3
Current Illness: None
Preexisting Conditions: None
Allergies: Latex allergy allergy
Diagnostic Lab Data: Blood pressure, pulse, oxygen
CDC 'Split Type':

Write-up: Was waiting in the after injection parking lot for about 10 minutes, felt fine, and then it was like a fainting switch had been flipped without much warning. Was able to roll down my window and honk horn for emt in parking lot before fainting. Woke up to emt checking blood pressure, pulse and putting oxygen mask on. Then had to throw up, continue oxygen, sat and waited about 45 minutes until I felt like I could safely drive home. Had mild flu like symptoms starting about 3 hours later, became more moderate symptoms about 8 hours after injection - headache, fatigue, fever, body aches, nausea. Slept all next day, only remained. Still feel fatigue on Wednesday


Changed on 5/14/2021

VAERS ID: 1178759 Before After
VAERS Form:2
Age:50.0
Sex:Female
Location:Colorado
Vaccinated:2021-04-05
Onset:2021-04-05
Submitted:0000-00-00
Entered:2021-04-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808980 / 1 LA / SYR

Administered by: Other      Purchased by: ??
Symptoms: Fatigue, Headache, Influenza like illness, Nausea, Pain, Pyrexia, Syncope, Vomiting, Vital signs measurement

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Multivitamin, vitamin d, omega 3
Current Illness: None
Preexisting Conditions: None
Allergies: Latex allergy allergy
Diagnostic Lab Data: Blood pressure, pulse, oxygen
CDC 'Split Type':

Write-up: Was waiting in the after injection parking lot for about 10 minutes, felt fine, and then it was like a fainting switch had been flipped without much warning. Was able to roll down my window and honk horn for emt in parking lot before fainting. Woke up to emt checking blood pressure, pulse and putting oxygen mask on. Then had to throw up, continue oxygen, sat and waited about 45 minutes until I felt like I could safely drive home. Had mild flu like symptoms starting about 3 hours later, became more moderate symptoms about 8 hours after injection - headache, fatigue, fever, body aches, nausea. Slept all next day, only remained. Still feel fatigue on Wednesday

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