National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 1233579

History of Changes from the VAERS Wayback Machine

First Appeared on 4/23/2021

VAERS ID: 1233579
VAERS Form:2
Age:51.0
Sex:Female
Location:Illinois
Vaccinated:2021-04-11
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 RA / IM

Administered by: Other      Purchased by: ??
Symptoms: Anxiety, Dyspnoea

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: Unknown
Current Illness: None known
Preexisting Conditions: None known
Allergies: NKA
Diagnostic Lab Data: N/A
CDC 'Split Type':

Write-up: Patient experienced shortness of breath and anxiety post vaccination, recovered and released.


Changed on 5/7/2021

VAERS ID: 1233579 Before After
VAERS Form:2
Age:51.0
Sex:Female
Location:Illinois
Vaccinated:2021-04-11
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 RA / IM

Administered by: Other      Purchased by: ??
Symptoms: Anxiety, Dyspnoea

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: Unknown
Current Illness: None known
Preexisting Conditions: None known
Allergies: NKA NKA
Diagnostic Lab Data: N/A
CDC 'Split Type':

Write-up: Patient experienced shortness of breath and anxiety post vaccination, recovered and released.


Changed on 5/14/2021

VAERS ID: 1233579 Before After
VAERS Form:2
Age:51.0
Sex:Female
Location:Illinois
Vaccinated:2021-04-11
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 RA / IM

Administered by: Other      Purchased by: ??
Symptoms: Anxiety, Dyspnoea

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: Unknown
Current Illness: None known
Preexisting Conditions: None known
Allergies: NKA NKA
Diagnostic Lab Data: N/A
CDC 'Split Type':

Write-up: Patient experienced shortness of breath and anxiety post vaccination, recovered and released.

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1233579&WAYBACKHISTORY=ON


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