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This is VAERS ID 1371912

History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1371912
VAERS Form:2
Age:55.0
Sex:Female
Location:Florida
Vaccinated:2021-05-20
Onset:2021-06-01
Submitted:0000-00-00
Entered:2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805031 / N/A LA / SYR

Administered by: Pharmacy      Purchased by: ??
Symptoms: Dizziness, Dry mouth, Injection site pain, Thirst

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: None
Current Illness: None
Preexisting Conditions: Fibromyalgia, arthritis
Allergies: Penicillin
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Arm was sore for several days at injection site, had severely dry mouth for 4-5 days, continuously thirsty. For 2 days, starting 6/1/21-6/3/21 woke up & room was spinning, dizzy spells. No treatment, for dizzy spells had to just close my eyes & wait at least 45 min for it to go away.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1371912&WAYBACKHISTORY=ON


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