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This is VAERS ID 1223645

History of Changes from the VAERS Wayback Machine

First Appeared on 4/23/2021

VAERS ID: 1223645
VAERS Form:2
Age:41.0
Sex:Female
Location:Illinois
Vaccinated:2021-04-11
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 LA / IM

Administered by: Other      Purchased by: ??
Symptoms: Dizziness, Feeling hot

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: none
Current Illness: none
Preexisting Conditions: none
Allergies: NONE
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Received shot and after checking out start feeling hot and dizzy. This is a familiar reaction to her whenever she got poke by needles. In observation with medics for 15 minutes. BP/ P stable . 1:35pm client went home on her own.


Changed on 5/7/2021

VAERS ID: 1223645 Before After
VAERS Form:2
Age:41.0
Sex:Female
Location:Illinois
Vaccinated:2021-04-11
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 LA / IM

Administered by: Other      Purchased by: ??
Symptoms: Dizziness, Feeling hot

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: none
Current Illness: none
Preexisting Conditions: none
Allergies: NONE NONE
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Received shot and after checking out start feeling hot and dizzy. This is a familiar reaction to her whenever she got poke by needles. In observation with medics for 15 minutes. BP/ P stable . 1:35pm client went home on her own.


Changed on 5/14/2021

VAERS ID: 1223645 Before After
VAERS Form:2
Age:41.0
Sex:Female
Location:Illinois
Vaccinated:2021-04-11
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 LA / IM

Administered by: Other      Purchased by: ??
Symptoms: Dizziness, Feeling hot

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: none
Current Illness: none
Preexisting Conditions: none
Allergies: NONE NONE
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Received shot and after checking out start feeling hot and dizzy. This is a familiar reaction to her whenever she got poke by needles. In observation with medics for 15 minutes. BP/ P stable . 1:35pm client went home on her own.

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1223645&WAYBACKHISTORY=ON


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