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This is VAERS ID 1185528

History of Changes from the VAERS Wayback Machine

First Appeared on 4/23/2021

VAERS ID: 1185528
VAERS Form:2
Age:42.0
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 LL / IM

Administered by: Public      Purchased by: ??
Symptoms: Heart rate, Nausea, Oxygen saturation, Paraesthesia, Throat tightness, Blood pressure measurement

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: Paxil, Gabapentin, Aldactone
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 10:17 BP 100/39 HR 42 O2 95% 10:20 BP 102/63 HR 77 O2 98% 10:27 BP 114/60 EMS arrived
CDC 'Split Type':

Write-up: Started feeling tingling to face and closing to throat some nausea, zero dizziness, zero SOB except feeling throat is still closing 10:18 Benadryl given IM 10:20 epinephrine


Changed on 5/7/2021

VAERS ID: 1185528 Before After
VAERS Form:2
Age:42.0
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 LL / IM

Administered by: Public      Purchased by: ??
Symptoms: Heart rate, Nausea, Oxygen saturation, Paraesthesia, Throat tightness, Blood pressure measurement

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: Paxil, Gabapentin, Aldactone
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 10:17 BP 100/39 HR 42 O2 95% 10:20 BP 102/63 HR 77 O2 98% 10:27 BP 114/60 EMS arrived
CDC 'Split Type':

Write-up: Started feeling tingling to face and closing to throat some nausea, zero dizziness, zero SOB except feeling throat is still closing 10:18 Benadryl given IM 10:20 epinephrine


Changed on 5/14/2021

VAERS ID: 1185528 Before After
VAERS Form:2
Age:42.0
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 LL / IM

Administered by: Public      Purchased by: ??
Symptoms: Heart rate, Nausea, Oxygen saturation, Paraesthesia, Throat tightness, Blood pressure measurement

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: Paxil, Gabapentin, Aldactone
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 10:17 BP 100/39 HR 42 O2 95% 10:20 BP 102/63 HR 77 O2 98% 10:27 BP 114/60 EMS arrived
CDC 'Split Type':

Write-up: Started feeling tingling to face and closing to throat some nausea, zero dizziness, zero SOB except feeling throat is still closing 10:18 Benadryl given IM 10:20 epinephrine

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1185528&WAYBACKHISTORY=ON


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