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This is VAERS ID 1700278

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History of Changes from the VAERS Wayback Machine

First Appeared on 9/17/2021

VAERS ID: 1700278
VAERS Form:2
Age:19.0
Sex:Female
Location:Missouri
Vaccinated:2021-09-15
Onset:2021-09-15
Submitted:0000-00-00
Entered:2021-09-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1821286 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Dysphagia, Nausea, Tachycardia, Tremor, Pharyngeal swelling

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt c/o feeling like "throat swelling" and difficult to swallow approx 5 min after receiving vaccine. Also c/o nausea, tachycardia and shaking.

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