National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts.org
Search Results

This is VAERS ID 1787787

Government Disclaimer on use of this data

History of Changes from the VAERS Wayback Machine

First Appeared on 10/15/2021

VAERS ID: 1787787
VAERS Form:2
Age:55.0
Sex:Female
Location:Florida
Vaccinated:2021-09-14
Onset:2021-09-14
Submitted:0000-00-00
Entered:2021-10-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / -

Administered by: Pharmacy      Purchased by: ??
Symptoms: Chest X-ray, Epistaxis, Headache, Hypertension, Computerised tomogram head, Blood test

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: Zero
Current Illness: Zero
Preexisting Conditions: Thalassemia Minor
Allergies: Small pox vax Penicillin Morphine
Diagnostic Lab Data: Blood work x2 have Toradol , no other test or blood work and sent me home. States , ?not allowed to file VEARS for Covid vaccine per Hospital policy?. 9/15/21 , IV fluids, Ibuprofen, blood work and sent home. Same comment,?Not allowed to report to VEARS per policy.? 10/07/2021 Blood work, CT Brain, Chest X Rays. Fluid Iv, Toradol, Zinc Oxide, muscle relaxers, and anti inflammatory all via iv. Still have headaches, bp still high. Considered high normal.
CDC 'Split Type':

Write-up: High bp Severe headache Nose bleeds Started with in 20 minutes of vaccine. High bp and headaches continue since vax. daily issue

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1787787&WAYBACKHISTORY=ON


Copyright © 2022 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166