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This is VAERS ID 1241934

History of Changes from the VAERS Wayback Machine

First Appeared on 4/30/2021

VAERS ID: 1241934
VAERS Form:2
Age:58.0
Sex:Female
Location:Pennsylvania
Vaccinated:1963-02-24
Onset:2021-04-19
Submitted:0000-00-00
Entered:2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 UN / IM

Administered by: Private      Purchased by: ??
Symptoms: Dyspnoea, Fatigue, Fibrin D dimer, Full blood count normal, Palpitations, Pulmonary embolism, Upper respiratory tract infection, Computerised tomogram thorax abnormal, Breath sounds abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: reports adverse rxn to flu vaccine. No documentation
Other Medications: Probiotic, Vitamin D3
Current Illness: none
Preexisting Conditions: GERD, abnormal pap
Allergies: flu vaccine
Diagnostic Lab Data: s/p CTA chest: RUL pulm emboli, small s/p D-dimer: 0.91 s/p CBCD: wnl
CDC 'Split Type':

Write-up: Pt was vaccinated on 3/16/2021 with J&J COVID 19 vaccine. Pt developed increasing URI sx @ 4/5/2021. The symptoms progressed and she noticed that she was feeling more and more sob, fatigued, and had developed some mild cp. She presented with a pulse ox of 94% on RA. No acute distress. Lung sounds diminished.


Changed on 5/7/2021

VAERS ID: 1241934 Before After
VAERS Form:2
Age:58.0
Sex:Female
Location:Pennsylvania
Vaccinated:1963-02-24
Onset:2021-04-19
Submitted:0000-00-00
Entered:2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 UN / IM

Administered by: Private      Purchased by: ??
Symptoms: Dyspnoea, Fatigue, Fibrin D dimer, Full blood count normal, Palpitations, Pulmonary embolism, Upper respiratory tract infection, Computerised tomogram thorax abnormal, Breath sounds abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: reports adverse rxn to flu vaccine. No documentation
Other Medications: Probiotic, Vitamin D3
Current Illness: none
Preexisting Conditions: GERD, abnormal pap
Allergies: flu vaccine vaccine
Diagnostic Lab Data: s/p CTA chest: RUL pulm emboli, small s/p D-dimer: 0.91 s/p CBCD: wnl
CDC 'Split Type':

Write-up: Pt was vaccinated on 3/16/2021 with J&J COVID 19 vaccine. Pt developed increasing URI sx @ 4/5/2021. The symptoms progressed and she noticed that she was feeling more and more sob, fatigued, and had developed some mild cp. She presented with a pulse ox of 94% on RA. No acute distress. Lung sounds diminished.


Changed on 5/14/2021

VAERS ID: 1241934 Before After
VAERS Form:2
Age:58.0
Sex:Female
Location:Pennsylvania
Vaccinated:1963-02-24
Onset:2021-04-19
Submitted:0000-00-00
Entered:2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 UN / IM

Administered by: Private      Purchased by: ??
Symptoms: Dyspnoea, Fatigue, Fibrin D dimer, Full blood count normal, Palpitations, Pulmonary embolism, Upper respiratory tract infection, Computerised tomogram thorax abnormal, Breath sounds abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: reports adverse rxn to flu vaccine. No documentation
Other Medications: Probiotic, Vitamin D3
Current Illness: none
Preexisting Conditions: GERD, abnormal pap
Allergies: flu vaccine vaccine
Diagnostic Lab Data: s/p CTA chest: RUL pulm emboli, small s/p D-dimer: 0.91 s/p CBCD: wnl
CDC 'Split Type':

Write-up: Pt was vaccinated on 3/16/2021 with J&J COVID 19 vaccine. Pt developed increasing URI sx @ 4/5/2021. The symptoms progressed and she noticed that she was feeling more and more sob, fatigued, and had developed some mild cp. She presented with a pulse ox of 94% on RA. No acute distress. Lung sounds diminished.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1241934&WAYBACKHISTORY=ON


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