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This is VAERS ID 1186118

History of Changes from the VAERS Wayback Machine

First Appeared on 4/23/2021

VAERS ID: 1186118
VAERS Form:2
Age:48.0
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 RA / IM

Administered by: Public      Purchased by: ??
Symptoms: Paraesthesia oral

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 12:03 BP 130/76 HR 62 O2 96% 12:24 BP 130/72 HR 66 O2 96% 12:32 BP 132/72 HR 68 O2 97%
CDC 'Split Type':

Write-up: upper lip tingling, tongue, no SOB, palpitations, edema 12:03 25mg Benadryl given 12:12 numbness subsided 12:24 asymptomatic Walked around for approximately 5 minutes. Denied sleepiness and stated "I am fine to drive"


Changed on 5/7/2021

VAERS ID: 1186118 Before After
VAERS Form:2
Age:48.0
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 RA / IM

Administered by: Public      Purchased by: ??
Symptoms: Paraesthesia oral

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 12:03 BP 130/76 HR 62 O2 96% 12:24 BP 130/72 HR 66 O2 96% 12:32 BP 132/72 HR 68 O2 97%
CDC 'Split Type':

Write-up: upper lip tingling, tongue, no SOB, palpitations, edema 12:03 25mg Benadryl given 12:12 numbness subsided 12:24 asymptomatic Walked around for approximately 5 minutes. Denied sleepiness and stated "I am fine to drive"


Changed on 5/14/2021

VAERS ID: 1186118 Before After
VAERS Form:2
Age:48.0
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 RA / IM

Administered by: Public      Purchased by: ??
Symptoms: Paraesthesia oral

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 12:03 BP 130/76 HR 62 O2 96% 12:24 BP 130/72 HR 66 O2 96% 12:32 BP 132/72 HR 68 O2 97%
CDC 'Split Type':

Write-up: upper lip tingling, tongue, no SOB, palpitations, edema 12:03 25mg Benadryl given 12:12 numbness subsided 12:24 asymptomatic Walked around for approximately 5 minutes. Denied sleepiness and stated "I am fine to drive"

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1186118&WAYBACKHISTORY=ON


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