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This is VAERS ID 1185107

History of Changes from the VAERS Wayback Machine

First Appeared on 4/23/2021

VAERS ID: 1185107
VAERS Form:2
Age:40.0
Sex:Female
Location:California
Vaccinated:2021-04-08
Onset:2021-04-09
Submitted:0000-00-00
Entered:2021-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / UNK LA / IM

Administered by: Other      Purchased by: ??
Symptoms: Chest pain, Dyspnoea, Swelling face

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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: 2 Advil at 7am
Current Illness: n/a
Preexisting Conditions: n/a
Allergies: allergic to bee stings
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Chest pain, difficulty getting enough breath, facial swelling.


Changed on 5/7/2021

VAERS ID: 1185107 Before After
VAERS Form:2
Age:40.0
Sex:Female
Location:California
Vaccinated:2021-04-08
Onset:2021-04-09
Submitted:0000-00-00
Entered:2021-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / UNK LA / IM

Administered by: Other      Purchased by: ??
Symptoms: Chest pain, Dyspnoea, Swelling face

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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: 2 Advil at 7am
Current Illness: n/a
Preexisting Conditions: n/a
Allergies: allergic to bee stings stings
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Chest pain, difficulty getting enough breath, facial swelling.


Changed on 5/14/2021

VAERS ID: 1185107 Before After
VAERS Form:2
Age:40.0
Sex:Female
Location:California
Vaccinated:2021-04-08
Onset:2021-04-09
Submitted:0000-00-00
Entered:2021-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / UNK LA / IM

Administered by: Other      Purchased by: ??
Symptoms: Chest pain, Dyspnoea, Swelling face

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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: 2 Advil at 7am
Current Illness: n/a
Preexisting Conditions: n/a
Allergies: allergic to bee stings stings
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Chest pain, difficulty getting enough breath, facial swelling.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1185107&WAYBACKHISTORY=ON


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