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This is VAERS ID 1317498

History of Changes from the VAERS Wayback Machine

First Appeared on 5/21/2021

VAERS ID: 1317498
VAERS Form:2
Age:24.0
Sex:Male
Location:Florida
Vaccinated:2021-05-01
Onset:2021-05-02
Submitted:0000-00-00
Entered:2021-05-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / 1 LA / SYR

Administered by: Unknown      Purchased by: ??
Symptoms: Blindness, Chest discomfort, Dehydration, Diarrhoea, Dizziness, Dyspnoea, Headache, Hyperhidrosis, Paraesthesia, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: none
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: Tightness in chest and slight difficulty breathing hours before event. Event was an episode on the toilet including vomiting, diarrhea, dizziness, sweating, slight tingling sensations, and temporary loss of vision (5-6 minutes). Dehydration and headache occurred after the event.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1317498&WAYBACKHISTORY=ON


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