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This is VAERS ID 1185516

History of Changes from the VAERS Wayback Machine

First Appeared on 4/23/2021

VAERS ID: 1185516
VAERS Form:2
Age:37.0
Sex:Male
Location:Unknown
Vaccinated:2021-04-09
Onset:2021-04-09
Submitted:0000-00-00
Entered:2021-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 RA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Cold sweat, Feeling cold

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: Pt felt cold and clammy after the Covid vaccination for about 2 min. We took care of him.We were with him all the time and was checking on him. He was with us until he was doing great.


Changed on 5/7/2021

VAERS ID: 1185516 Before After
VAERS Form:2
Age:37.0
Sex:Male
Location:Unknown
Vaccinated:2021-04-09
Onset:2021-04-09
Submitted:0000-00-00
Entered:2021-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 RA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Cold sweat, Feeling cold

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: Pt felt cold and clammy after the Covid vaccination for about 2 min. We took care of him.We were with him all the time and was checking on him. He was with us until he was doing great.


Changed on 5/14/2021

VAERS ID: 1185516 Before After
VAERS Form:2
Age:37.0
Sex:Male
Location:Unknown
Vaccinated:2021-04-09
Onset:2021-04-09
Submitted:0000-00-00
Entered:2021-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 RA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Cold sweat, Feeling cold

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: Pt felt cold and clammy after the Covid vaccination for about 2 min. We took care of him.We were with him all the time and was checking on him. He was with us until he was doing great.

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1185516&WAYBACKHISTORY=ON


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