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This is VAERS ID 1223671

History of Changes from the VAERS Wayback Machine

First Appeared on 4/23/2021

VAERS ID: 1223671
VAERS Form:2
Age:69.0
Sex:Male
Location:Texas
Vaccinated:2021-04-10
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Asthenia, Body temperature decreased, Chills, Fatigue, Malaise, Vomiting, Decreased appetite

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: METFORMIN CRESTOR LEVEMIR LISINOPRIL XARELTO COREG
Current Illness: NON-ADHERENT
Preexisting Conditions: DIABETES HIGH CHLOESTEROL HIGH BLOOD PRESSURE
Allergies: NKDA
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: PTS WIFE NSTATES NPT REFUSED TO GO TO HOSPITAL AFTER DEVELOPING CHILLS, LOW BODY TEMP @ 95, VOMITING, FATIGUE, WEAKNESS, AND LOSS OF APPETITE. SHE FED HIM CHICKEN NOODLE SOUP, PENTY OF BLANKETS, AND GATORADE. ITS BEEN 1 WEEK AND HE IS STILL ILL AND STILL REFUSING MEDICAL ATTENTION


Changed on 5/7/2021

VAERS ID: 1223671 Before After
VAERS Form:2
Age:69.0
Sex:Male
Location:Texas
Vaccinated:2021-04-10
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Asthenia, Body temperature decreased, Chills, Fatigue, Malaise, Vomiting, Decreased appetite

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: METFORMIN CRESTOR LEVEMIR LISINOPRIL XARELTO COREG
Current Illness: NON-ADHERENT
Preexisting Conditions: DIABETES HIGH CHLOESTEROL HIGH BLOOD PRESSURE
Allergies: NKDA NKDA
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: PTS WIFE NSTATES NPT REFUSED TO GO TO HOSPITAL AFTER DEVELOPING CHILLS, LOW BODY TEMP @ 95, VOMITING, FATIGUE, WEAKNESS, AND LOSS OF APPETITE. SHE FED HIM CHICKEN NOODLE SOUP, PENTY OF BLANKETS, AND GATORADE. ITS BEEN 1 WEEK AND HE IS STILL ILL AND STILL REFUSING MEDICAL ATTENTION


Changed on 5/14/2021

VAERS ID: 1223671 Before After
VAERS Form:2
Age:69.0
Sex:Male
Location:Texas
Vaccinated:2021-04-10
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Asthenia, Body temperature decreased, Chills, Fatigue, Malaise, Vomiting, Decreased appetite

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: METFORMIN CRESTOR LEVEMIR LISINOPRIL XARELTO COREG
Current Illness: NON-ADHERENT
Preexisting Conditions: DIABETES HIGH CHLOESTEROL HIGH BLOOD PRESSURE
Allergies: NKDA NKDA
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: PTS WIFE NSTATES NPT REFUSED TO GO TO HOSPITAL AFTER DEVELOPING CHILLS, LOW BODY TEMP @ 95, VOMITING, FATIGUE, WEAKNESS, AND LOSS OF APPETITE. SHE FED HIM CHICKEN NOODLE SOUP, PENTY OF BLANKETS, AND GATORADE. ITS BEEN 1 WEEK AND HE IS STILL ILL AND STILL REFUSING MEDICAL ATTENTION

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1223671&WAYBACKHISTORY=ON


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