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This is VAERS ID 1300261

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History of Changes from the VAERS Wayback Machine

First Appeared on 5/14/2021

VAERS ID: 1300261
VAERS Form:2
Age:17.0
Sex:Male
Location:Tennessee
Vaccinated:2021-04-08
Onset:2021-04-08
Submitted:0000-00-00
Entered:2021-05-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / N/A RA / IM

Administered by: Other      Purchased by: ??
Symptoms: Lip swelling, Hypoaesthesia oral

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

Write-up: C/O lips feeling big and numb after receiving Janssen vaccine.

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