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This is VAERS ID 1184560

History of Changes from the VAERS Wayback Machine

First Appeared on 4/23/2021

VAERS ID: 1184560
VAERS Form:2
Age:26.0
Sex:Female
Location:Ohio
Vaccinated:2021-04-09
Onset:2021-04-09
Submitted:0000-00-00
Entered:2021-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 RA / SYR

Administered by: Other      Purchased by: ??
Symptoms: Dizziness, Headache, Nausea

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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Lexapro, Depo Prevera shot
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Light-headedness, nausea, headache all occurred within minutes after injection.


Changed on 5/7/2021

VAERS ID: 1184560 Before After
VAERS Form:2
Age:26.0
Sex:Female
Location:Ohio
Vaccinated:2021-04-09
Onset:2021-04-09
Submitted:0000-00-00
Entered:2021-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 RA / SYR

Administered by: Other      Purchased by: ??
Symptoms: Dizziness, Headache, Nausea

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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Lexapro, Depo Prevera shot
Current Illness: none
Preexisting Conditions: none
Allergies: none none
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Light-headedness, nausea, headache all occurred within minutes after injection.


Changed on 5/14/2021

VAERS ID: 1184560 Before After
VAERS Form:2
Age:26.0
Sex:Female
Location:Ohio
Vaccinated:2021-04-09
Onset:2021-04-09
Submitted:0000-00-00
Entered:2021-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 RA / SYR

Administered by: Other      Purchased by: ??
Symptoms: Dizziness, Headache, Nausea

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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Lexapro, Depo Prevera shot
Current Illness: none
Preexisting Conditions: none
Allergies: none none
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Light-headedness, nausea, headache all occurred within minutes after injection.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1184560&WAYBACKHISTORY=ON


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