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This is VAERS ID 1354346

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History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1354346
VAERS Form:2
Age:35.0
Sex:Female
Location:California
Vaccinated:2021-05-18
Onset:2021-05-20
Submitted:0000-00-00
Entered:2021-05-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 204A21A / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Dizziness, Hypoaesthesia, Paraesthesia, Tinnitus, Vertigo, Deafness unilateral

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Systemic: Dizziness / Lightheadness-Severe, Systemic: Numbness (specify: facial area, extremities)-Medium, Systemic: Tinnitus-Severe, Additional Details: Pt called the pharmacy reporting that she has tingling sensation on the arm that is opposite of the arm that got the injection last week, and then she had extreme vertigo and dizziness which resulted her admitted to the ER. Pt also claims that she cannot hear from one side of the ears few days after the vaccine. Pt was advised to consult with a physician, and was also given the janseen phone number to ask about the side effects.

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