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This is VAERS ID 1703980

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History of Changes from the VAERS Wayback Machine

First Appeared on 9/17/2021

VAERS ID: 1703980
VAERS Form:2
Age:37.0
Sex:Female
Location:Unknown
Vaccinated:2021-04-07
Onset:2021-04-12
Submitted:0000-00-00
Entered:2021-09-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Public      Purchased by: ??
Symptoms: Chest X-ray normal, Dyspnoea, Full blood count normal

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Zyrtec, Flonase
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Chest x-ray showed no abnormality; CBC was normal
CDC 'Split Type':

Write-up: Extreme shortness of breath, which last for approximately 4 days. Patient had no history of shortness of breath and has had no recurrence.

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