National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 1273941

History of Changes from the VAERS Wayback Machine

First Appeared on 5/7/2021

VAERS ID: 1273941
VAERS Form:2
Age:52.0
Sex:Male
Location:Iowa
Vaccinated:2021-03-26
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808609 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Dizziness, Nausea, Vomiting, Laboratory test, Magnetic resonance imaging, Magnetic resonance imaging head

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: ASA 81mg po, Glucosamine Sulfate 1000mg , Vit D3, Clonazepam 0.5mg , Bupropion HCI 150mg , Empagliflozin 25mg , Glyburide 5mg BID, HCTZ 25mg , Indomethacin 50mg TID, Fish oil, Lisinopril 40mg, Loratadine 10mg , Metformin 1000mg bid, Metopro
Current Illness: none
Preexisting Conditions: Type II DM, cold sores, sleep apnea, MI 2005, Vit D, Ischemic heart DZ, elevated LFTs, GERD, Depression with anxiety, ED, Dyslipidemia, Gout, Hydrocele, Inguinal Hernia,
Allergies: Augmentin and morphine
Diagnostic Lab Data: MRV and MRI of the brain, labs, NS 1000mg bolus, and Decadron 10mg IVP,
CDC 'Split Type':

Write-up: H/A, Nausea, vomited x1, lightheaded


Changed on 5/14/2021

VAERS ID: 1273941 Before After
VAERS Form:2
Age:52.0
Sex:Male
Location:Iowa
Vaccinated:2021-03-26
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808609 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Dizziness, Nausea, Vomiting, Laboratory test, Magnetic resonance imaging, Magnetic resonance imaging head

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: ASA 81mg po, Glucosamine Sulfate 1000mg , Vit D3, Clonazepam 0.5mg , Bupropion HCI 150mg , Empagliflozin 25mg , Glyburide 5mg BID, HCTZ 25mg , Indomethacin 50mg TID, Fish oil, Lisinopril 40mg, Loratadine 10mg , Metformin 1000mg bid, Metopro
Current Illness: none
Preexisting Conditions: Type II DM, cold sores, sleep apnea, MI 2005, Vit D, Ischemic heart DZ, elevated LFTs, GERD, Depression with anxiety, ED, Dyslipidemia, Gout, Hydrocele, Inguinal Hernia,
Allergies: Augmentin and morphine morphine
Diagnostic Lab Data: MRV and MRI of the brain, labs, NS 1000mg bolus, and Decadron 10mg IVP,
CDC 'Split Type':

Write-up: H/A, Nausea, vomited x1, lightheaded

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1273941&WAYBACKHISTORY=ON


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