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This is VAERS ID 1180848

History of Changes from the VAERS Wayback Machine

First Appeared on 4/16/2021

VAERS ID: 1180848
VAERS Form:2
Age:37.0
Sex:Female
Location:Pennsylvania
Vaccinated:2021-04-06
Onset:2021-04-06
Submitted:0000-00-00
Entered:2021-04-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / N/A LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Asthenia, Disturbance in attention, Dizziness, Fatigue, Feeling abnormal, Spinal pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Descovy
Current Illness: not specified
Preexisting Conditions: not specified
Allergies: nka
Diagnostic Lab Data: unknown
CDC 'Split Type':

Write-up: Pt was in the store for observation post vaccine. About 10 minutes after the shot, she came back to the pharmacy and reported she was not feeling right. She was extremely tired, weak, and dizzy. She was told to sit down for further observation and given a bottle of water. About 5 minutes later, she said she was still feeling really bad. She said she was not thinking clearly and didn''t feel right. She was also experiencing moderate pain down her spine. She said her thinking was so affected that she wanted to seek treatment. Patient declined offer to call EMS, and proceeded to an urgent care clinic next door. Urgent care later called the pharmacy to inform us that patient had been transported to the hospital by ambulance.


Changed on 5/7/2021

VAERS ID: 1180848 Before After
VAERS Form:2
Age:37.0
Sex:Female
Location:Pennsylvania
Vaccinated:2021-04-06
Onset:2021-04-06
Submitted:0000-00-00
Entered:2021-04-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / N/A LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Asthenia, Disturbance in attention, Dizziness, Fatigue, Feeling abnormal, Spinal pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Descovy
Current Illness: not specified
Preexisting Conditions: not specified
Allergies: nka nka
Diagnostic Lab Data: unknown
CDC 'Split Type':

Write-up: Pt was in the store for observation post vaccine. About 10 minutes after the shot, she came back to the pharmacy and reported she was not feeling right. She was extremely tired, weak, and dizzy. She was told to sit down for further observation and given a bottle of water. About 5 minutes later, she said she was still feeling really bad. She said she was not thinking clearly and didn''t feel right. She was also experiencing moderate pain down her spine. She said her thinking was so affected that she wanted to seek treatment. Patient declined offer to call EMS, and proceeded to an urgent care clinic next door. Urgent care later called the pharmacy to inform us that patient had been transported to the hospital by ambulance.


Changed on 5/14/2021

VAERS ID: 1180848 Before After
VAERS Form:2
Age:37.0
Sex:Female
Location:Pennsylvania
Vaccinated:2021-04-06
Onset:2021-04-06
Submitted:0000-00-00
Entered:2021-04-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / N/A LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Asthenia, Disturbance in attention, Dizziness, Fatigue, Feeling abnormal, Spinal pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Descovy
Current Illness: not specified
Preexisting Conditions: not specified
Allergies: nka nka
Diagnostic Lab Data: unknown
CDC 'Split Type':

Write-up: Pt was in the store for observation post vaccine. About 10 minutes after the shot, she came back to the pharmacy and reported she was not feeling right. She was extremely tired, weak, and dizzy. She was told to sit down for further observation and given a bottle of water. About 5 minutes later, she said she was still feeling really bad. She said she was not thinking clearly and didn''t feel right. She was also experiencing moderate pain down her spine. She said her thinking was so affected that she wanted to seek treatment. Patient declined offer to call EMS, and proceeded to an urgent care clinic next door. Urgent care later called the pharmacy to inform us that patient had been transported to the hospital by ambulance.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1180848&WAYBACKHISTORY=ON

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