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This is VAERS ID 1185381

History of Changes from the VAERS Wayback Machine

First Appeared on 4/23/2021

VAERS ID: 1185381
VAERS Form:2
Age:21.0
Sex:Female
Location:New Hampshire
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 042A21A / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Asthenia, Dizziness, Nausea, Paraesthesia, Hypoacusis

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: Hepatitis C
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: no
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: After receiving the vaccine, patient started having dizzy and nauseous. He also reported tingling arm on the vaccinated one, weak leg, and hearing muffled. He was sitting down for at least 30minutes and felt better afterward. He was fully recovered.


Changed on 5/7/2021

VAERS ID: 1185381 Before After
VAERS Form:2
Age:21.0
Sex:Female
Location:New Hampshire
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 042A21A / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Asthenia, Dizziness, Nausea, Paraesthesia, Hypoacusis

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: Hepatitis C
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: no no
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: After receiving the vaccine, patient started having dizzy and nauseous. He also reported tingling arm on the vaccinated one, weak leg, and hearing muffled. He was sitting down for at least 30minutes and felt better afterward. He was fully recovered.


Changed on 5/14/2021

VAERS ID: 1185381 Before After
VAERS Form:2
Age:21.0
Sex:Female
Location:New Hampshire
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 042A21A / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Asthenia, Dizziness, Nausea, Paraesthesia, Hypoacusis

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: Hepatitis C
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: no no
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: After receiving the vaccine, patient started having dizzy and nauseous. He also reported tingling arm on the vaccinated one, weak leg, and hearing muffled. He was sitting down for at least 30minutes and felt better afterward. He was fully recovered.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1185381&WAYBACKHISTORY=ON


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