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This is VAERS ID 1186038

History of Changes from the VAERS Wayback Machine

First Appeared on 4/23/2021

VAERS ID: 1186038
VAERS Form:2
Age:65.0
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: Dizziness

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: Zoloft, maloxacam
Current Illness: Sinus infection 3 weeks ago
Preexisting Conditions: None
Allergies: Topical Iodine
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Dizzy


Changed on 5/7/2021

VAERS ID: 1186038 Before After
VAERS Form:2
Age:65.0
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: Dizziness

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: Zoloft, maloxacam
Current Illness: Sinus infection 3 weeks ago
Preexisting Conditions: None
Allergies: Topical Iodine Iodine
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Dizzy


Changed on 5/14/2021

VAERS ID: 1186038 Before After
VAERS Form:2
Age:65.0
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: Dizziness

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: Zoloft, maloxacam
Current Illness: Sinus infection 3 weeks ago
Preexisting Conditions: None
Allergies: Topical Iodine Iodine
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Dizzy

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1186038&WAYBACKHISTORY=ON


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