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This is VAERS ID 1346769

History of Changes from the VAERS Wayback Machine

First Appeared on 5/28/2021

VAERS ID: 1346769
VAERS Form:2
Age:74.0
Sex:Female
Location:Rhode Island
Vaccinated:2021-05-22
Onset:2021-05-22
Submitted:0000-00-00
Entered:2021-05-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 LA / SYR

Administered by: Pharmacy      Purchased by: ??
Symptoms: Abdominal pain upper, Asthenia, Dizziness, Erythema, Feeling hot, Flushing, Nausea, Paraesthesia, Throat tightness

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: Pfizer Covid Vaccine, dose 1
Other Medications: ometprazole 20 mg diclofenac 50 mg tumeric 500 mg tylenol 500 mg
Current Illness: none
Preexisting Conditions: none
Allergies: Cat scan contrast leucorovin iodine polyethylene glycol fish
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: 5 min after shot was given: warmth, nausea, dizzy, feeling of passing out, throat closing up, pins and needles in face and fingers/hands/forearms, red face and chest, and weakness. Second day, nausea, stomach cramps, dizziness.

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