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This is VAERS ID 1180402

History of Changes from the VAERS Wayback Machine

First Appeared on 4/16/2021

VAERS ID: 1180402
VAERS Form:2
Age:38.0
Sex:Female
Location:Unknown
Vaccinated:2021-04-07
Onset:2021-04-07
Submitted:0000-00-00
Entered:2021-04-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Unknown      Purchased by: ??
Symptoms: Chills, Cyanosis, Dizziness, Electrocardiogram normal, Headache, Loss of consciousness, Nausea, Tinnitus, Vomiting, White blood cell count increased, Computerised tomogram head, Blood test

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: Bcp
Current Illness: None
Preexisting Conditions: None
Allergies: Sulfa
Diagnostic Lab Data: Ct head scan - negative, ekg - negative, blood work - elevated white blood cell. All done on 4/7.
CDC 'Split Type':

Write-up: Started with chills, then dizziness, nausea and passed out until was found by another person. Had ringing in ears either right before passing out or when coming to consciousness. Vomited after waking up. Chills returned, fever of 100.3, blue lips. Headache came later


Changed on 5/7/2021

VAERS ID: 1180402 Before After
VAERS Form:2
Age:38.0
Sex:Female
Location:Unknown
Vaccinated:2021-04-07
Onset:2021-04-07
Submitted:0000-00-00
Entered:2021-04-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Unknown      Purchased by: ??
Symptoms: Chills, Cyanosis, Dizziness, Electrocardiogram normal, Headache, Loss of consciousness, Nausea, Tinnitus, Vomiting, White blood cell count increased, Computerised tomogram head, Blood test

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: Bcp
Current Illness: None
Preexisting Conditions: None
Allergies: Sulfa Sulfa
Diagnostic Lab Data: Ct head scan - negative, ekg - negative, blood work - elevated white blood cell. All done on 4/7.
CDC 'Split Type':

Write-up: Started with chills, then dizziness, nausea and passed out until was found by another person. Had ringing in ears either right before passing out or when coming to consciousness. Vomited after waking up. Chills returned, fever of 100.3, blue lips. Headache came later


Changed on 5/14/2021

VAERS ID: 1180402 Before After
VAERS Form:2
Age:38.0
Sex:Female
Location:Unknown
Vaccinated:2021-04-07
Onset:2021-04-07
Submitted:0000-00-00
Entered:2021-04-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Unknown      Purchased by: ??
Symptoms: Chills, Cyanosis, Dizziness, Electrocardiogram normal, Headache, Loss of consciousness, Nausea, Tinnitus, Vomiting, White blood cell count increased, Computerised tomogram head, Blood test

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: Bcp
Current Illness: None
Preexisting Conditions: None
Allergies: Sulfa Sulfa
Diagnostic Lab Data: Ct head scan - negative, ekg - negative, blood work - elevated white blood cell. All done on 4/7.
CDC 'Split Type':

Write-up: Started with chills, then dizziness, nausea and passed out until was found by another person. Had ringing in ears either right before passing out or when coming to consciousness. Vomited after waking up. Chills returned, fever of 100.3, blue lips. Headache came later

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1180402&WAYBACKHISTORY=ON

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