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This is VAERS ID 1331318

History of Changes from the VAERS Wayback Machine

First Appeared on 5/21/2021

VAERS ID: 1331318
VAERS Form:2
Age:51.0
Sex:Male
Location:North Carolina
Vaccinated:2021-05-15
Onset:2021-05-19
Submitted:0000-00-00
Entered:2021-05-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Nausea, Pyrexia, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? Yes
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: Patient''s husband reported to us on 5/19 that pt had nausea and vomiting and mild fever after getting the J&J vaccine on Saturday 5/15. patient then had a mild fever on 5/16 which was resolved on its own after 1 day but nausea and vomiting persisted, pt sough care from her PCP on 5/19 and was prescribed 2 antiemetics to treat. Patient''s husband verified no other symptoms, patient doing well otherwise.

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