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This is VAERS ID 1185908

History of Changes from the VAERS Wayback Machine

First Appeared on 4/23/2021

VAERS ID: 1185908
VAERS Form:2
Age:42.0
Sex:Female
Location:North Carolina
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 207A21A / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Paraesthesia, Vomiting, Limb 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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Hydrocodone PRN. None today, last dose was yesterday at 8:00 PM
Current Illness: None
Preexisting Conditions: None
Allergies: None known
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient complained of left arm heaviness at 12:44pm. BP was 158/98 Pulse was 101 and O2 saturation was 99. No other complaints at that time. After observation period patient went to the bathroom around 1:00pm and vomited in the restroom. She returned to post vac area where BP was checked (208/124) Pulse (107), O2 saturation (98), and respirations were at 28. No blurred vision, shortness of breath, or dizziness. Due to elevated BP we elected to call EMS for further evaluation. While waiting for EMS BP was taken again at 1:30 pm and it was 170/92 and pulse and apical HR were at 96, respirations at 24, O2 Sat at 97% and pt. reported arm was less heavy but she felt a tingling sensation from her arm to her wrist. EMS arrived at 1:35 and BP was 220/120 and temp was at 97 degrees.


Changed on 5/7/2021

VAERS ID: 1185908 Before After
VAERS Form:2
Age:42.0
Sex:Female
Location:North Carolina
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 207A21A / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Paraesthesia, Vomiting, Limb 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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Hydrocodone PRN. None today, last dose was yesterday at 8:00 PM
Current Illness: None
Preexisting Conditions: None
Allergies: None known known
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient complained of left arm heaviness at 12:44pm. BP was 158/98 Pulse was 101 and O2 saturation was 99. No other complaints at that time. After observation period patient went to the bathroom around 1:00pm and vomited in the restroom. She returned to post vac area where BP was checked (208/124) Pulse (107), O2 saturation (98), and respirations were at 28. No blurred vision, shortness of breath, or dizziness. Due to elevated BP we elected to call EMS for further evaluation. While waiting for EMS BP was taken again at 1:30 pm and it was 170/92 and pulse and apical HR were at 96, respirations at 24, O2 Sat at 97% and pt. reported arm was less heavy but she felt a tingling sensation from her arm to her wrist. EMS arrived at 1:35 and BP was 220/120 and temp was at 97 degrees.


Changed on 5/14/2021

VAERS ID: 1185908 Before After
VAERS Form:2
Age:42.0
Sex:Female
Location:North Carolina
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 207A21A / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Paraesthesia, Vomiting, Limb 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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Hydrocodone PRN. None today, last dose was yesterday at 8:00 PM
Current Illness: None
Preexisting Conditions: None
Allergies: None known known
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient complained of left arm heaviness at 12:44pm. BP was 158/98 Pulse was 101 and O2 saturation was 99. No other complaints at that time. After observation period patient went to the bathroom around 1:00pm and vomited in the restroom. She returned to post vac area where BP was checked (208/124) Pulse (107), O2 saturation (98), and respirations were at 28. No blurred vision, shortness of breath, or dizziness. Due to elevated BP we elected to call EMS for further evaluation. While waiting for EMS BP was taken again at 1:30 pm and it was 170/92 and pulse and apical HR were at 96, respirations at 24, O2 Sat at 97% and pt. reported arm was less heavy but she felt a tingling sensation from her arm to her wrist. EMS arrived at 1:35 and BP was 220/120 and temp was at 97 degrees.

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