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This is VAERS ID 1232815

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History of Changes from the VAERS Wayback Machine

First Appeared on 4/23/2021

VAERS ID: 1232815
VAERS Form:2
Age:
Sex:Unknown
Location:Ohio
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1802068 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Abdominal pain, Blood lactic acid, Blood pressure immeasurable, Coma, Death, Headache, Hypotension, Shock, Syncope, Vomiting, Blood phosphorus increased

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: BP unobtainable, pH 6.8, lactate 15 Contact Hospital for lab and clinical details
CDC 'Split Type':

Write-up: Abdominal pain, vomiting, headache, hypotension, syncope, coma, shock, death at 2:00 pm 03/08/2021


Changed on 5/7/2021

VAERS ID: 1232815 Before After
VAERS Form:2
Age:
Sex:Unknown
Location:Ohio
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1802068 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Abdominal pain, Blood lactic acid, Blood pressure immeasurable, Coma, Death, Headache, Hypotension, Shock, Syncope, Vomiting, Blood phosphorus increased

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: BP unobtainable, pH 6.8, lactate 15 Contact Hospital for lab and clinical details
CDC 'Split Type':

Write-up: Abdominal pain, vomiting, headache, hypotension, syncope, coma, shock, death at 2:00 pm 03/08/2021


Changed on 5/14/2021

VAERS ID: 1232815 Before After
VAERS Form:2
Age:
Sex:Unknown
Location:Ohio
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1802068 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Abdominal pain, Blood lactic acid, Blood pressure immeasurable, Coma, Death, Headache, Hypotension, Shock, Syncope, Vomiting, Blood phosphorus increased

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: BP unobtainable, pH 6.8, lactate 15 Contact Hospital for lab and clinical details
CDC 'Split Type':

Write-up: Abdominal pain, vomiting, headache, hypotension, syncope, coma, shock, death at 2:00 pm 03/08/2021

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1232815&WAYBACKHISTORY=ON


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