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This is VAERS ID 1178783

History of Changes from the VAERS Wayback Machine

First Appeared on 4/16/2021

VAERS ID: 1178783
VAERS Form:2
Age:36.0
Sex:Male
Location:California
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 - / UNK LA / -

Administered by: Pharmacy      Purchased by: ??
Symptoms: Chills, Hyperhidrosis, Nausea, Pallor, Pyrexia, Seizure, Syncope, Vomiting, Laboratory test normal, Hot flush

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: I take the following supplements regularly: Vitamin C + D3 + Zinc + Cod Liver Oil
Current Illness: none
Preexisting Conditions: none
Allergies: Cardamom allergy, especially fresh cardamom pods
Diagnostic Lab Data: Blood tests were done and nothing abnormal was found.
CDC 'Split Type':

Write-up: I had an intense fever within 5 minutes of the administration of the shot. I was sweating profusely, experience nausea and then fainted and had a mild seizure. After coming to consciousness, I vomited and the pharmacy staff called the paramedics. I was extremely pale and the fever persisted for several minutes while waiting for the paramedics. I recovered and felt mostly normal after being given saline solution and anti-nausea medication. Hours after being released from the hospital, I have waves of cold chills and hot flashes.


Changed on 5/7/2021

VAERS ID: 1178783 Before After
VAERS Form:2
Age:36.0
Sex:Male
Location:California
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 - / UNK LA / -

Administered by: Pharmacy      Purchased by: ??
Symptoms: Chills, Hyperhidrosis, Nausea, Pallor, Pyrexia, Seizure, Syncope, Vomiting, Laboratory test normal, Hot flush

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: I take the following supplements regularly: Vitamin C + D3 + Zinc + Cod Liver Oil
Current Illness: none
Preexisting Conditions: none
Allergies: Cardamom allergy, especially fresh cardamom pods pods
Diagnostic Lab Data: Blood tests were done and nothing abnormal was found.
CDC 'Split Type':

Write-up: I had an intense fever within 5 minutes of the administration of the shot. I was sweating profusely, experience nausea and then fainted and had a mild seizure. After coming to consciousness, I vomited and the pharmacy staff called the paramedics. I was extremely pale and the fever persisted for several minutes while waiting for the paramedics. I recovered and felt mostly normal after being given saline solution and anti-nausea medication. Hours after being released from the hospital, I have waves of cold chills and hot flashes.


Changed on 5/14/2021

VAERS ID: 1178783 Before After
VAERS Form:2
Age:36.0
Sex:Male
Location:California
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 - / UNK LA / -

Administered by: Pharmacy      Purchased by: ??
Symptoms: Chills, Hyperhidrosis, Nausea, Pallor, Pyrexia, Seizure, Syncope, Vomiting, Laboratory test normal, Hot flush

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: I take the following supplements regularly: Vitamin C + D3 + Zinc + Cod Liver Oil
Current Illness: none
Preexisting Conditions: none
Allergies: Cardamom allergy, especially fresh cardamom pods pods
Diagnostic Lab Data: Blood tests were done and nothing abnormal was found.
CDC 'Split Type':

Write-up: I had an intense fever within 5 minutes of the administration of the shot. I was sweating profusely, experience nausea and then fainted and had a mild seizure. After coming to consciousness, I vomited and the pharmacy staff called the paramedics. I was extremely pale and the fever persisted for several minutes while waiting for the paramedics. I recovered and felt mostly normal after being given saline solution and anti-nausea medication. Hours after being released from the hospital, I have waves of cold chills and hot flashes.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1178783&WAYBACKHISTORY=ON

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