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This is VAERS ID 1268297

History of Changes from the VAERS Wayback Machine

First Appeared on 4/30/2021

VAERS ID: 1268297
VAERS Form:2
Age:46.0
Sex:Female
Location:South Carolina
Vaccinated:2021-04-10
Onset:2021-04-21
Submitted:0000-00-00
Entered:2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Private      Purchased by: ??
Symptoms: Dizziness, Dyspnoea, Palpitations, Tachycardia, Laboratory 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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Zoloft Allegra Losartan Amitriptyline Omeprazole Metoprolol Hydroxyzine
Current Illness: Hypothyroidism Migraines Chronic low back pain Hypertension GERD Depression Allergic Rhinitis OSA
Preexisting Conditions: See above
Allergies: Topamax
Diagnostic Lab Data: Labs pending. Cardiology referral placed for holter monitor.
CDC 'Split Type':

Write-up: Intermittent tachycardia with palpitations, shortness of breath, lightheadedness at rest. Currently undergoing further workup. Onset 7 days ago.


Changed on 5/7/2021

VAERS ID: 1268297 Before After
VAERS Form:2
Age:46.0
Sex:Female
Location:South Carolina
Vaccinated:2021-04-10
Onset:2021-04-21
Submitted:0000-00-00
Entered:2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Private      Purchased by: ??
Symptoms: Dizziness, Dyspnoea, Palpitations, Tachycardia, Laboratory 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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Zoloft Allegra Losartan Amitriptyline Omeprazole Metoprolol Hydroxyzine
Current Illness: Hypothyroidism Migraines Chronic low back pain Hypertension GERD Depression Allergic Rhinitis OSA
Preexisting Conditions: See above
Allergies: Topamax Topamax
Diagnostic Lab Data: Labs pending. Cardiology referral placed for holter monitor.
CDC 'Split Type':

Write-up: Intermittent tachycardia with palpitations, shortness of breath, lightheadedness at rest. Currently undergoing further workup. Onset 7 days ago.


Changed on 5/14/2021

VAERS ID: 1268297 Before After
VAERS Form:2
Age:46.0
Sex:Female
Location:South Carolina
Vaccinated:2021-04-10
Onset:2021-04-21
Submitted:0000-00-00
Entered:2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Private      Purchased by: ??
Symptoms: Dizziness, Dyspnoea, Palpitations, Tachycardia, Laboratory 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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Zoloft Allegra Losartan Amitriptyline Omeprazole Metoprolol Hydroxyzine
Current Illness: Hypothyroidism Migraines Chronic low back pain Hypertension GERD Depression Allergic Rhinitis OSA
Preexisting Conditions: See above
Allergies: Topamax Topamax
Diagnostic Lab Data: Labs pending. Cardiology referral placed for holter monitor.
CDC 'Split Type':

Write-up: Intermittent tachycardia with palpitations, shortness of breath, lightheadedness at rest. Currently undergoing further workup. Onset 7 days ago.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1268297&WAYBACKHISTORY=ON


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