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This is VAERS ID 1470122

History of Changes from the VAERS Wayback Machine

First Appeared on 7/16/2021

VAERS ID: 1470122
VAERS Form:2
Age:51.0
Sex:Female
Location:Idaho
Vaccinated:2021-05-11
Onset:2021-07-02
Submitted:0000-00-00
Entered:2021-07-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Pharmacy      Purchased by: ??
Symptoms: Cough, Dyspnoea, Productive cough, Pyrexia, Respiratory tract congestion, Secretion discharge, Oropharyngeal pain

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: Omeprozole, Gabapentin, Meloxicam
Current Illness: Hiatal Hernia, severe anemia, neuropathy in left leg, carpal tunnel syndrome both wrists, Gerd
Preexisting Conditions: Hiatal Hernia, Gerd
Allergies: Penicillin, sulfa drugs
Diagnostic Lab Data: Urgent care visits on 7/7/21 and 7/12/21. Received breathing treatment (steroid and Albuterol) and steroid shot on 7/12/22.
CDC 'Split Type':

Write-up: Developed upper respiratory infection On 7/2/2021. Low grade fever, cough, chest congestion, sore throat, yellow mucus, difficulty breathing, phlegm

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