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This is VAERS ID 1375586

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History of Changes from the VAERS Wayback Machine

First Appeared on 6/11/2021

VAERS ID: 1375586
VAERS Form:2
Age:32.0
Sex:Female
Location:New Jersey
Vaccinated:2021-06-04
Onset:2021-06-04
Submitted:0000-00-00
Entered:2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / 1 LA / IM

Administered by: Public      Purchased by: ??
Symptoms: Dyspnoea, Stridor, Throat tightness, Wheezing

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: UNKNOWN
Current Illness: DENIED
Preexisting Conditions: NONE
Allergies: STRAWBERRIES
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 02:20 Patient received Ist dose of Janssen. 02:24 Patient complained throat felt like it was closing and difficulty breathing, audible wheezing and stridor. Given Epi Pen 0.3mcg IM Right thigh. 911 called. 02:26 Given 25 mg of liquid Benadryl PO. 02:30 BP 140/94 Pulse 96 RR 26. 02:34 EMTs arrived BP now 100/60 Pulse OX 97% Pulse 85. 02:40 Walked out by EMT and Paramedics to the ambulance.

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