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This is VAERS ID 1331000

History of Changes from the VAERS Wayback Machine

First Appeared on 5/21/2021

VAERS ID: 1331000
VAERS Form:2
Age:40.0
Sex:Female
Location:Texas
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: Unknown      Purchased by: ??
Symptoms: Dizziness

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

Write-up: The patient stated that she felt dizzy. She laid down. The nurse attended her and took her vitals. BP 112/85, O2 =99, HR=87. The patient state that she was ok.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1331000&WAYBACKHISTORY=ON


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