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This is VAERS ID 1185890

History of Changes from the VAERS Wayback Machine

First Appeared on 4/23/2021

VAERS ID: 1185890
VAERS Form:2
Age:38.0
Sex:Male
Location:Missouri
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 203A21A / 1 LA / IM

Administered by: Public      Purchased by: ??
Symptoms: Anxiety, Chest discomfort

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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Zyrtec
Current Illness: none
Preexisting Conditions: none
Allergies: Shellfish, Seasame, "like every plant"
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Anxious and tightness in chest/diaphargm


Changed on 5/7/2021

VAERS ID: 1185890 Before After
VAERS Form:2
Age:38.0
Sex:Male
Location:Missouri
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 203A21A / 1 LA / IM

Administered by: Public      Purchased by: ??
Symptoms: Anxiety, Chest discomfort

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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Zyrtec
Current Illness: none
Preexisting Conditions: none
Allergies: Shellfish, Seasame, "like every plant" plant"
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Anxious and tightness in chest/diaphargm


Changed on 5/14/2021

VAERS ID: 1185890 Before After
VAERS Form:2
Age:38.0
Sex:Male
Location:Missouri
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 203A21A / 1 LA / IM

Administered by: Public      Purchased by: ??
Symptoms: Anxiety, Chest discomfort

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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Zyrtec
Current Illness: none
Preexisting Conditions: none
Allergies: Shellfish, Seasame, "like every plant" plant"
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Anxious and tightness in chest/diaphargm

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1185890&WAYBACKHISTORY=ON


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