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This is VAERS ID 1257314

History of Changes from the VAERS Wayback Machine

First Appeared on 4/30/2021

VAERS ID: 1257314
VAERS Form:2
Age:37.0
Sex:Male
Location:North Carolina
Vaccinated:2021-04-06
Onset:2021-04-12
Submitted:0000-00-00
Entered:2021-04-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 RA / SYR

Administered by: Pharmacy      Purchased by: ??
Symptoms: Computerised tomogram, Disturbance in attention, Dizziness, Head discomfort, Headache, Hypertension, Ultrasound scan, Blood test

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Blood test, CT scan - April 18 More blood tests - April 22 Leg ultrasound - April 25
CDC 'Split Type':

Write-up: Severe pressure headache, lightheaded, trouble concentrating, elevated blood pressure


Changed on 5/7/2021

VAERS ID: 1257314 Before After
VAERS Form:2
Age:37.0
Sex:Male
Location:North Carolina
Vaccinated:2021-04-06
Onset:2021-04-12
Submitted:0000-00-00
Entered:2021-04-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 RA / SYR

Administered by: Pharmacy      Purchased by: ??
Symptoms: Computerised tomogram, Disturbance in attention, Dizziness, Head discomfort, Headache, Hypertension, Ultrasound scan, Blood test

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Blood test, CT scan - April 18 More blood tests - April 22 Leg ultrasound - April 25
CDC 'Split Type':

Write-up: Severe pressure headache, lightheaded, trouble concentrating, elevated blood pressure


Changed on 5/14/2021

VAERS ID: 1257314 Before After
VAERS Form:2
Age:37.0
Sex:Male
Location:North Carolina
Vaccinated:2021-04-06
Onset:2021-04-12
Submitted:0000-00-00
Entered:2021-04-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 RA / SYR

Administered by: Pharmacy      Purchased by: ??
Symptoms: Computerised tomogram, Disturbance in attention, Dizziness, Head discomfort, Headache, Hypertension, Ultrasound scan, Blood test

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Blood test, CT scan - April 18 More blood tests - April 22 Leg ultrasound - April 25
CDC 'Split Type':

Write-up: Severe pressure headache, lightheaded, trouble concentrating, elevated blood pressure

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