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This is VAERS ID 1184569

History of Changes from the VAERS Wayback Machine

First Appeared on 4/23/2021

VAERS ID: 1184569
VAERS Form:2
Age:19.0
Sex:Male
Location:New York
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 1808980 / 1 LA / IM

Administered by: Public      Purchased by: ??
Symptoms: Dizziness, Hyperhidrosis, 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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient felt diaphoretic, nauseous and dizzy. States that felt side effects right after side effects. Vital signs taken and observed, vital signs stable throughout, placed supine, given juice. Patient left clinic after 30 minutes, no concerns.


Changed on 5/7/2021

VAERS ID: 1184569 Before After
VAERS Form:2
Age:19.0
Sex:Male
Location:New York
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 1808980 / 1 LA / IM

Administered by: Public      Purchased by: ??
Symptoms: Dizziness, Hyperhidrosis, 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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient felt diaphoretic, nauseous and dizzy. States that felt side effects right after side effects. Vital signs taken and observed, vital signs stable throughout, placed supine, given juice. Patient left clinic after 30 minutes, no concerns.


Changed on 5/14/2021

VAERS ID: 1184569 Before After
VAERS Form:2
Age:19.0
Sex:Male
Location:New York
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 1808980 / 1 LA / IM

Administered by: Public      Purchased by: ??
Symptoms: Dizziness, Hyperhidrosis, 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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient felt diaphoretic, nauseous and dizzy. States that felt side effects right after side effects. Vital signs taken and observed, vital signs stable throughout, placed supine, given juice. Patient left clinic after 30 minutes, no concerns.

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1184569&WAYBACKHISTORY=ON


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