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This is VAERS ID 1185264

History of Changes from the VAERS Wayback Machine

First Appeared on 4/23/2021

VAERS ID: 1185264
VAERS Form:2
Age:49.0
Sex:Female
Location:Unknown
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 RA / IM

Administered by: Public      Purchased by: ??
Symptoms: Dizziness, Dysphonia, Feeling abnormal, Pallor, Throat tightness

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: 9:40 BP 73/56, HR 50, O2 95% 10:05 BP 70/systolic HR 47
CDC 'Split Type':

Write-up: 9:45 c/o dizziness, "foggy" brain 9:48 throat tightness, pale lips 9:50 epi injection 9:52 Benadryl 50mg IM 9:58 throat sill tight, speech slightly hoarse 10:05 A + O x3, Throat tightness, speech clear EMS transported to ER


Changed on 5/7/2021

VAERS ID: 1185264 Before After
VAERS Form:2
Age:49.0
Sex:Female
Location:Unknown
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 RA / IM

Administered by: Public      Purchased by: ??
Symptoms: Dizziness, Dysphonia, Feeling abnormal, Pallor, Throat tightness

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: 9:40 BP 73/56, HR 50, O2 95% 10:05 BP 70/systolic HR 47
CDC 'Split Type':

Write-up: 9:45 c/o dizziness, "foggy" brain 9:48 throat tightness, pale lips 9:50 epi injection 9:52 Benadryl 50mg IM 9:58 throat sill tight, speech slightly hoarse 10:05 A + O x3, Throat tightness, speech clear EMS transported to ER


Changed on 5/14/2021

VAERS ID: 1185264 Before After
VAERS Form:2
Age:49.0
Sex:Female
Location:Unknown
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 RA / IM

Administered by: Public      Purchased by: ??
Symptoms: Dizziness, Dysphonia, Feeling abnormal, Pallor, Throat tightness

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: 9:40 BP 73/56, HR 50, O2 95% 10:05 BP 70/systolic HR 47
CDC 'Split Type':

Write-up: 9:45 c/o dizziness, "foggy" brain 9:48 throat tightness, pale lips 9:50 epi injection 9:52 Benadryl 50mg IM 9:58 throat sill tight, speech slightly hoarse 10:05 A + O x3, Throat tightness, speech clear EMS transported to ER

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1185264&WAYBACKHISTORY=ON


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