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This is VAERS ID 1470133

History of Changes from the VAERS Wayback Machine

First Appeared on 7/16/2021

VAERS ID: 1470133
VAERS Form:2
Age:54.0
Sex:Female
Location:Minnesota
Vaccinated:2021-07-13
Onset:2021-07-13
Submitted:0000-00-00
Entered:2021-07-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Burning sensation, Dysgeusia, Dyspnoea

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: albuterol clonazepam, methylphenidate, gabapentin metformin, omeprazole, oxycodone and sertraline
Current Illness: breast cancer
Preexisting Conditions:
Allergies: contrast dye
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient feel burning in left arem bad taste in mouth and trouble breathing

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1470133&WAYBACKHISTORY=ON


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