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This is VAERS ID 1475203

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History of Changes from the VAERS Wayback Machine

First Appeared on 7/16/2021

VAERS ID: 1475203
VAERS Form:2
Age:68.0
Sex:Female
Location:Washington
Vaccinated:2021-03-30
Onset:2021-04-12
Submitted:0000-00-00
Entered:2021-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Chest X-ray, Differential white blood cell count, Electrocardiogram, Full blood count, Guillain-Barre syndrome, Troponin I, Cardiac monitoring, Computerised tomogram thorax, Computerised tomogram abdomen, Laboratory test, Troponin, Angiogram, Metabolic function test

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-received information via essence reporT
Current Illness: unknown-received information via essence report
Preexisting Conditions: unknown-received information via essence report
Allergies: unknown-received information via essence report
Diagnostic Lab Data: LAB1748 CBC WITH AUTO DIFFERENTIAL;LAB17 COMPREHENSIVE METABOLIC PANEL;RIS1259 XR CHEST 1V PORTABLE;ECG1 EKG 12-LEAD;IVT3 INSERT PERIPHERAL IV;NUR586 CONTINUOUS PULSE OXIMETRY;NUR342 ED NASAL CANNULA OXYGEN;NUR7021 CARDIAC MONITORING;LAB6953 TROPONIN 0; 1; 3 HR HIGH SENSITIVITY;LAB6386 *CBC WITH AUTO DIFFERENTIAL; LAB GENERATED ORDER;LAB6896 *TROPONIN I HS 0 HR (LAB GENERATED ORDER);LAB6956 *TROPONIN I HS 1 HOUR (LAB GENERATED ORDER);LAB1778 LIGHT GREEN TOP;RIS3218 CTA CHEST ABDOMEN PELVIS;LAB6957 *TROPONIN I HS 3 HOUR (LAB GENERATED ORDER)
CDC 'Split Type':

Write-up: Admitted for HTN, diagnosed with GBS and discharged on 13 April.

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