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This is VAERS ID 1180863

History of Changes from the VAERS Wayback Machine

First Appeared on 4/16/2021

VAERS ID: 1180863
VAERS Form:2
Age:32.0
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 043A21A / N/A RA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Feeling hot, Flushing, Headache, 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:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: patient complained of a headache about 2 minutes after vaccination. She became hot and flushed and soon began vomiting. Patient''s mother contacted ems which took her to the local emergency department. Patient was given ondansetron and diphenhydramine and sent home.


Changed on 5/7/2021

VAERS ID: 1180863 Before After
VAERS Form:2
Age:32.0
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 043A21A / N/A RA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Feeling hot, Flushing, Headache, 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:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: patient complained of a headache about 2 minutes after vaccination. She became hot and flushed and soon began vomiting. Patient''s mother contacted ems which took her to the local emergency department. Patient was given ondansetron and diphenhydramine and sent home.


Changed on 5/14/2021

VAERS ID: 1180863 Before After
VAERS Form:2
Age:32.0
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 043A21A / N/A RA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Feeling hot, Flushing, Headache, 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:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: patient complained of a headache about 2 minutes after vaccination. She became hot and flushed and soon began vomiting. Patient''s mother contacted ems which took her to the local emergency department. Patient was given ondansetron and diphenhydramine and sent home.

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1180863&WAYBACKHISTORY=ON

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