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This is VAERS ID 1334901

History of Changes from the VAERS Wayback Machine

First Appeared on 5/21/2021

VAERS ID: 1334901
VAERS Form:2
Age:44.0
Sex:Male
Location:Indiana
Vaccinated:2021-05-03
Onset:2021-05-04
Submitted:0000-00-00
Entered:2021-05-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Headache, Night sweats, Pain, Pyrexia, Neurological examination, Hot flush

Life Threatening? No
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? No
Previous Vaccinations:
Other Medications: herbal suppliment-St. Johns Wort-just started this a day or two prior-very small dose.
Current Illness: n/a
Preexisting Conditions: n/a
Allergies: Biaxin-Form of antibiotic-not sure if that is the correct name.
Diagnostic Lab Data: I visited with my Family doctor on 5/12. A simple neurological exam was performed to weed out possible blood clots.
CDC 'Split Type':

Write-up: Dull head pain located at the front of the head to the temples, almost like when you have a fever but without a temperature. Severe night sweats, and have had hot flashes around the ears a few times. This has been going on since the evening of my vaccine. The head pain is constant and the night sweats have occurred almost every night. On night one the head pain was moderate.

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