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This is VAERS ID 1330998

History of Changes from the VAERS Wayback Machine

First Appeared on 5/21/2021

VAERS ID: 1330998
VAERS Form:2
Age:58.0
Sex:Female
Location:Iowa
Vaccinated:2021-05-19
Onset:2021-05-19
Submitted:0000-00-00
Entered:2021-05-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Dizziness, Dizziness postural, Muscle twitching, Tremor, Unresponsive to stimuli, Eye movement disorder

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: Pt states issues with blood draws, other vaccines, and colonoscopy procedure
Other Medications: Aspirin, Linsinopril/HCTZ, Escitalopram, Atorastatin, Dexamethasone, Hydrocodone/APAP,
Current Illness: None
Preexisting Conditions: HTN, Hyperchloesterolemia, Depression
Allergies: NKA
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Patient felt lightheaded after receiving vaccination, upon standing, lightheaded ness increased. She sat down and we propped up her feet and gave her water. She then began to tremor and her arms were twitching. Her eyes rolled back in her head and she was unresponsive to questions, but breathing was normal. With fanning and cold compress she recovered and EMS did not need to be called. The time of vaccination to recovery was about 5 minutes total.

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