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This is VAERS ID 1430455

History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1430455
VAERS Form:2
Age:53.0
Sex:Female
Location:North Carolina
Vaccinated:2021-06-26
Onset:2021-06-26
Submitted:0000-00-00
Entered:2021-06-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / 1 LA / IM

Administered by: Other      Purchased by: ??
Symptoms: Dizziness

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: Afrin, Doxycycline
Current Illness: None
Preexisting Conditions: Asthma
Allergies: NKA
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: At approximately 20 mins after vaccination, patient reporting complaints of dizziness without N/V. Vitals HR 76, RR 16, BP 122/82, O2 96%. Patient reporting she has only had coffee this AM and was given peanut butter crackers. No complaint of vision changes or SOB. Patient left site at 10:30 AM.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1430455&WAYBACKHISTORY=ON


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