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This is VAERS ID 1185281

History of Changes from the VAERS Wayback Machine

First Appeared on 4/23/2021

VAERS ID: 1185281
VAERS Form:2
Age:27.0
Sex:Female
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: Throat tightness, Tremor

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: NA
Current Illness:
Preexisting Conditions:
Allergies: Morphine
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: After vaccine patient felt like her throat was tightening up - very shaky. states she is allergic to morphine and felt like this was a similar reaction. Says this reaction is not as fast but she feels it. We were with patient for approximately 30 minutes and she presented as stable. Patient was ultimately transported to a local hospital by EMS


Changed on 5/7/2021

VAERS ID: 1185281 Before After
VAERS Form:2
Age:27.0
Sex:Female
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: Throat tightness, Tremor

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: NA
Current Illness:
Preexisting Conditions:
Allergies: Morphine Morphine
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: After vaccine patient felt like her throat was tightening up - very shaky. states she is allergic to morphine and felt like this was a similar reaction. Says this reaction is not as fast but she feels it. We were with patient for approximately 30 minutes and she presented as stable. Patient was ultimately transported to a local hospital by EMS


Changed on 5/14/2021

VAERS ID: 1185281 Before After
VAERS Form:2
Age:27.0
Sex:Female
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: Throat tightness, Tremor

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: NA
Current Illness:
Preexisting Conditions:
Allergies: Morphine Morphine
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: After vaccine patient felt like her throat was tightening up - very shaky. states she is allergic to morphine and felt like this was a similar reaction. Says this reaction is not as fast but she feels it. We were with patient for approximately 30 minutes and she presented as stable. Patient was ultimately transported to a local hospital by EMS

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1185281&WAYBACKHISTORY=ON


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