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This is VAERS ID 1137075

History of Changes from the VAERS Wayback Machine

First Appeared on 4/1/2021

VAERS ID: 1137075
VAERS Form:2
Age:34.0
Sex:Male
Location:Illinois
Vaccinated:2021-03-26
Onset:2021-03-26
Submitted:0000-00-00
Entered:2021-03-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805018 / N/A LA / IM

Administered by: Work      Purchased by: ??
Symptoms: Dizziness, Hyperhidrosis, Pain in extremity, Pallor, Tinnitus

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

Write-up: Ringing in ears, sweating, dizziness, arm soreness. Patient appeared pale

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1137075&WAYBACKHISTORY=ON


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