National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 1186140

History of Changes from the VAERS Wayback Machine

First Appeared on 4/23/2021

VAERS ID: 1186140
VAERS Form:2
Age:43.0
Sex:Female
Location:California
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 205A21A / 1 RA / IM

Administered by: Unknown      Purchased by: ??
Symptoms: Anxiety, Asthenia

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:
CDC 'Split Type':

Write-up: 43 yo female with a c/c of Anxiety with weakness status post vaccination. pt had no signs of allergic reaction. Pt denied any sob or difficulty breathing noted. pt states good oral intake and food intake today. pt wanted to be transported for anxiety. pt was transported to PMC for further eval.


Changed on 5/7/2021

VAERS ID: 1186140 Before After
VAERS Form:2
Age:43.0
Sex:Female
Location:California
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 205A21A / 1 RA / IM

Administered by: Unknown      Purchased by: ??
Symptoms: Anxiety, Asthenia

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:
CDC 'Split Type':

Write-up: 43 yo female with a c/c of Anxiety with weakness status post vaccination. pt had no signs of allergic reaction. Pt denied any sob or difficulty breathing noted. pt states good oral intake and food intake today. pt wanted to be transported for anxiety. pt was transported to PMC for further eval.


Changed on 5/14/2021

VAERS ID: 1186140 Before After
VAERS Form:2
Age:43.0
Sex:Female
Location:California
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 205A21A / 1 RA / IM

Administered by: Unknown      Purchased by: ??
Symptoms: Anxiety, Asthenia

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:
CDC 'Split Type':

Write-up: 43 yo female with a c/c of Anxiety with weakness status post vaccination. pt had no signs of allergic reaction. Pt denied any sob or difficulty breathing noted. pt states good oral intake and food intake today. pt wanted to be transported for anxiety. pt was transported to PMC for further eval.

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1186140&WAYBACKHISTORY=ON


Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166