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This is VAERS ID 1267898

History of Changes from the VAERS Wayback Machine

First Appeared on 4/30/2021

VAERS ID: 1267898
VAERS Form:2
Age:36.0
Sex:Male
Location:Arizona
Vaccinated:2021-04-09
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / 1 LA / SYR

Administered by: Other      Purchased by: ??
Symptoms: Cough, Diarrhoea, Fatigue, Headache, Pyrexia, Vomiting, SARS-CoV-2 test positive, COVID-19 pneumonia

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 6     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Azmyhtrocine cefdinir dexamethasone asprini ec Siltussin Remdisivir treatment at hospital
Current Illness:
Preexisting Conditions: Asthma
Allergies:
Diagnostic Lab Data: covid pneumonia
CDC 'Split Type':

Write-up: hostpital for covid pneumonia three days later cough fatigue throwing up diahrea headache fever


Changed on 5/7/2021

VAERS ID: 1267898 Before After
VAERS Form:2
Age:36.0
Sex:Male
Location:Arizona
Vaccinated:2021-04-09
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / 1 LA / SYR

Administered by: Other      Purchased by: ??
Symptoms: Cough, Diarrhoea, Fatigue, Headache, Pyrexia, Vomiting, SARS-CoV-2 test positive, COVID-19 pneumonia

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 6     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Azmyhtrocine cefdinir dexamethasone asprini ec Siltussin Remdisivir treatment at hospital
Current Illness:
Preexisting Conditions: Asthma
Allergies:
Diagnostic Lab Data: covid pneumonia
CDC 'Split Type':

Write-up: hostpital for covid pneumonia three days later cough fatigue throwing up diahrea headache fever


Changed on 5/14/2021

VAERS ID: 1267898 Before After
VAERS Form:2
Age:36.0
Sex:Male
Location:Arizona
Vaccinated:2021-04-09
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / 1 LA / SYR

Administered by: Other      Purchased by: ??
Symptoms: Cough, Diarrhoea, Fatigue, Headache, Pyrexia, Vomiting, SARS-CoV-2 test positive, COVID-19 pneumonia

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 6     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Azmyhtrocine cefdinir dexamethasone asprini ec Siltussin Remdisivir treatment at hospital
Current Illness:
Preexisting Conditions: Asthma
Allergies:
Diagnostic Lab Data: covid pneumonia
CDC 'Split Type':

Write-up: hostpital for covid pneumonia three days later cough fatigue throwing up diahrea headache fever

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1267898&WAYBACKHISTORY=ON


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