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This is VAERS ID 1185934

History of Changes from the VAERS Wayback Machine

First Appeared on 4/23/2021

VAERS ID: 1185934
VAERS Form:2
Age:62.0
Sex:Female
Location:Utah
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 043A21A / UNK - / -

Administered by: Military      Purchased by: ??
Symptoms: Throat irritation

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

Write-up: 15 minutes after receiving the vaccine patient started to feel itchy in her throat but did not have tightening in the throat, hives or shortness of breath. Patient was taken to the emergency department where IV benadryl and solu-medrol were given.


Changed on 5/7/2021

VAERS ID: 1185934 Before After
VAERS Form:2
Age:62.0
Sex:Female
Location:Utah
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 043A21A / UNK - / -

Administered by: Military      Purchased by: ??
Symptoms: Throat irritation

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

Write-up: 15 minutes after receiving the vaccine patient started to feel itchy in her throat but did not have tightening in the throat, hives or shortness of breath. Patient was taken to the emergency department where IV benadryl and solu-medrol were given.


Changed on 5/14/2021

VAERS ID: 1185934 Before After
VAERS Form:2
Age:62.0
Sex:Female
Location:Utah
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 043A21A / UNK - / -

Administered by: Military      Purchased by: ??
Symptoms: Throat irritation

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

Write-up: 15 minutes after receiving the vaccine patient started to feel itchy in her throat but did not have tightening in the throat, hives or shortness of breath. Patient was taken to the emergency department where IV benadryl and solu-medrol were given.

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1185934&WAYBACKHISTORY=ON


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