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This is VAERS ID 1697367

History of Changes from the VAERS Wayback Machine

First Appeared on 9/17/2021

VAERS ID: 1697367
VAERS Form:2
Age:24.0
Sex:Male
Location:California
Vaccinated:2021-09-14
Onset:2021-09-14
Submitted:0000-00-00
Entered:2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 RA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Blood pressure decreased, Dizziness, Hyperhidrosis, Sensory disturbance, Hot flush

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: VALTREX.
Current Illness: NONE
Preexisting Conditions: ANXIETY
Allergies: AUGMENTIN AND BACTRIM : HAD TO GO TO HOSPITAL TO GET EPIEN.
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: LIGHTHEADED AND HOT FLASHES. FELT VACCINE GOING THROUHOUT BODY. SWEATING AND DROP IN BLOOD PRESSURE. 3:30pm BP 92/55. 3:40pm BP 113/74. 3:47pm BP 126/80 HR 64. 3:57pm BP 129/80 HR 59. GAVE PATIENT WATER AND GRANOLA. AFTER 30 MINUTES PATIENT FELT NORMAL. CHECKED ON PATIENT 5:37PM AND FEELS NORMAL.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1697367&WAYBACKHISTORY=ON

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