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This is VAERS ID 1327845

History of Changes from the VAERS Wayback Machine

First Appeared on 5/21/2021

VAERS ID: 1327845
VAERS Form:2
Age:36.0
Sex:Male
Location:Unknown
Vaccinated:2021-05-18
Onset:2021-05-18
Submitted:0000-00-00
Entered:2021-05-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / N/A AR / IM

Administered by: Other      Purchased by: ??
Symptoms: Extra dose administered

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

Write-up: After receiving his dose of the janssen covid 19 vaccine, the patient took an unused/prefilled syringe back to his room and gave himself a second dose of the janssen covid 19 vaccine.

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1327845&WAYBACKHISTORY=ON


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