National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts.org
Search Results

This is VAERS ID 1382954

Government Disclaimer on use of this data

History of Changes from the VAERS Wayback Machine

First Appeared on 6/18/2021

VAERS ID: 1382954
VAERS Form:2
Age:39.0
Sex:Female
Location:California
Vaccinated:2021-04-09
Onset:2021-04-09
Submitted:0000-00-00
Entered:2021-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808882 / 1 LA / SYR

Administered by: Private      Purchased by: ??
Symptoms: Chest X-ray, Chills, Dizziness, Eye pain, Headache, Nausea, Pyrexia, Blood test

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: High blood pressure
Preexisting Conditions: High blood pressure
Allergies: None
Diagnostic Lab Data: Blood clot test, and Radiologic chest exam 4/13/21 at hospital. VNG and audio gram ENT 5/17/21 VHIT & VEMP scheduled for 6/15/21 at ENT. Neurology scheduled for September 2021
CDC 'Split Type':

Write-up: Had fever chills head ache a dizziness start evening after shot. Fever chills only lasted 2 days. Dizziness nausea pain behind left eye continues to get worse. Still seeing doctors and going through testing

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1382954&WAYBACKHISTORY=ON


Copyright © 2022 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166