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This is VAERS ID 1689963

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History of Changes from the VAERS Wayback Machine

First Appeared on 9/17/2021

VAERS ID: 1689963
VAERS Form:2
Age:34.0
Sex:Male
Location:Wisconsin
Vaccinated:2021-09-04
Onset:2021-09-04
Submitted:0000-00-00
Entered:2021-09-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Anxiety, Asthenia, Chills, Dizziness, Dyspnoea, Extrasystoles, Palpitations, Pyrexia, Tachycardia

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: None.
Current Illness: None.
Preexisting Conditions: None.
Allergies: Cat and dog fur/hair. Melatonin.
Diagnostic Lab Data: None at this time. I am searching for a primary care physician so that I may get regular check-ups as well as get my heart checked out after experiencing palpitations.
CDC 'Split Type':

Write-up: Extreme dizziness occurred immediately after the injection. As the dizziness increased my heart started pounding as hard as it could. I began to taste blood in the back of my throat when swallowing saliva. Dizziness kept increasing until the point the I nearly fainted. Breathing became extremely labored. I felt feelings of impending doom. I thought we were going to have to call an ambulance. It felt like I was dying. The episode lasted about 5 minutes, and was the worse 5 minutes of my entire life. Overnight I had the worst chills I have ever experienced. I also had a fever, but the chills were awful and worse than the fever. The next day I was experiencing tachycardia with a pulse of 120 bpm, my normal is around 60 bpm; I was also experiencing heart palpitations and skipped heart beats (I have never felt this before). On the third day I was mostly feeling weak, but still experiencing tachycardia and skipping heart beats/palpitations. By the fourth day I felt somewhat more normal again.

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