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This is VAERS ID 1180469

History of Changes from the VAERS Wayback Machine

First Appeared on 4/16/2021

VAERS ID: 1180469
VAERS Form:2
Age:50.0
Sex:Female
Location:California
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 043A21A / UNK - / IM

Administered by: Private      Purchased by: ??
Symptoms: Chest discomfort, Hyperhidrosis, Skin discolouration, Tachycardia, Throat tightness, Vomiting

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:
Current Illness:
Preexisting Conditions:
Allergies: PCN
Diagnostic Lab Data: EpiPen 0.3
CDC 'Split Type':

Write-up: C/O throat tightness, upper chest tightness, tachycardia, sweating, discoloration upper neck, jaw, vomiting


Changed on 5/7/2021

VAERS ID: 1180469 Before After
VAERS Form:2
Age:50.0
Sex:Female
Location:California
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 043A21A / UNK - / IM

Administered by: Private      Purchased by: ??
Symptoms: Chest discomfort, Hyperhidrosis, Skin discolouration, Tachycardia, Throat tightness, Vomiting

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:
Current Illness:
Preexisting Conditions:
Allergies: PCN PCN
Diagnostic Lab Data: EpiPen 0.3
CDC 'Split Type':

Write-up: C/O throat tightness, upper chest tightness, tachycardia, sweating, discoloration upper neck, jaw, vomiting


Changed on 5/14/2021

VAERS ID: 1180469 Before After
VAERS Form:2
Age:50.0
Sex:Female
Location:California
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 043A21A / UNK - / IM

Administered by: Private      Purchased by: ??
Symptoms: Chest discomfort, Hyperhidrosis, Skin discolouration, Tachycardia, Throat tightness, Vomiting

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:
Current Illness:
Preexisting Conditions:
Allergies: PCN PCN
Diagnostic Lab Data: EpiPen 0.3
CDC 'Split Type':

Write-up: C/O throat tightness, upper chest tightness, tachycardia, sweating, discoloration upper neck, jaw, vomiting

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1180469&WAYBACKHISTORY=ON

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