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This is VAERS ID 1320928

History of Changes from the VAERS Wayback Machine

First Appeared on 5/21/2021

VAERS ID: 1320928
VAERS Form:2
Age:19.0
Sex:Male
Location:California
Vaccinated:2021-05-04
Onset:2021-05-04
Submitted:0000-00-00
Entered:2021-05-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 204A21A / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Chest discomfort, Chest pain, Dizziness, Dyspnoea, Feeling hot, Pain, Somnolence, Vertigo

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Systemic: Body Aches Generalized-Severe, Systemic: Chest Tightness / Heaviness / Pain-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: delayed but quick onset of feeling of warmth-Severe, Additional Details: Patient came to me 5/13/21 to describe that later in the day, after receiving the Janssen vaccine, pt was driving and had a sudden feeling of body warmth and vertigo. Patient further described chest tightness and difficulty breathing, as well as all over body pain. He reported that he was able to safely get to where he was going and the next day had more "expected" grogginess and aches.

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