National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 1695819

Government Disclaimer on use of this data

History of Changes from the VAERS Wayback Machine

First Appeared on 9/17/2021

VAERS ID: 1695819
VAERS Form:2
Age:24.0
Sex:Female
Location:California
Vaccinated:2021-09-01
Onset:2021-09-01
Submitted:0000-00-00
Entered:2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Pharmacy      Purchased by: ??
Symptoms: Chest discomfort, Dizziness, Dyspnoea, Electrocardiogram, Fatigue, Headache, Myalgia, Paraesthesia, Pruritus, Blood test, Mouth swelling, Pharyngeal swelling

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Tylenol, Ibuprofen, Multivitamin
Current Illness: Sinus and ear infection previously but cleared-up
Preexisting Conditions: Asthma, migraines
Allergies: Sulfa, Topamax, Adhesive, Z-pack antibiotic, Pineapple
Diagnostic Lab Data: EKG; bloodwork.
CDC 'Split Type':

Write-up: Tingling and itching, mouth and throat swelling, fatigue, muscle pain, headache, lightheadedness, dizziness, tightening of chest and difficulty breathing.

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1695819&WAYBACKHISTORY=ON


Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166