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This is VAERS ID 1137419

History of Changes from the VAERS Wayback Machine

First Appeared on 4/1/2021

VAERS ID: 1137419
VAERS Form:2
Age:48.0
Sex:Male
Location:Maryland
Vaccinated:2021-03-25
Onset:2021-03-26
Submitted:0000-00-00
Entered:2021-03-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808978 / 1 LA / IM

Administered by: Senior Living      Purchased by: ??
Symptoms: Headache, Pain, Pain in extremity, Restlessness

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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Aches, restlessness, arm hurts, headache

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1137419&WAYBACKHISTORY=ON


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