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This is VAERS ID 1185148

History of Changes from the VAERS Wayback Machine

First Appeared on 4/23/2021

VAERS ID: 1185148
VAERS Form:2
Age:61.0
Sex:Male
Location:Washington
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 202A21A / 1 LA / IM

Administered by: Other      Purchased by: ??
Symptoms: Cough, Dizziness, Hyperhidrosis, Loss of consciousness

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Cholesterol - High BP - Gout Meds - Fish Oil
Current Illness: N/A
Preexisting Conditions:
Allergies: N/A
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Soon after shot felt sweaty - dizzy - that is all he remembers. States he was very nervous on arrival and does not like needles. Patient observers states they noticed patient coughing and then he passed out.


Changed on 5/7/2021

VAERS ID: 1185148 Before After
VAERS Form:2
Age:61.0
Sex:Male
Location:Washington
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 202A21A / 1 LA / IM

Administered by: Other      Purchased by: ??
Symptoms: Cough, Dizziness, Hyperhidrosis, Loss of consciousness

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Cholesterol - High BP - Gout Meds - Fish Oil
Current Illness: N/A
Preexisting Conditions:
Allergies: N/A N/A
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Soon after shot felt sweaty - dizzy - that is all he remembers. States he was very nervous on arrival and does not like needles. Patient observers states they noticed patient coughing and then he passed out.


Changed on 5/14/2021

VAERS ID: 1185148 Before After
VAERS Form:2
Age:61.0
Sex:Male
Location:Washington
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 202A21A / 1 LA / IM

Administered by: Other      Purchased by: ??
Symptoms: Cough, Dizziness, Hyperhidrosis, Loss of consciousness

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Cholesterol - High BP - Gout Meds - Fish Oil
Current Illness: N/A
Preexisting Conditions:
Allergies: N/A N/A
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Soon after shot felt sweaty - dizzy - that is all he remembers. States he was very nervous on arrival and does not like needles. Patient observers states they noticed patient coughing and then he passed out.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1185148&WAYBACKHISTORY=ON


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