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This is VAERS ID 1347542

History of Changes from the VAERS Wayback Machine

First Appeared on 5/28/2021

VAERS ID: 1347542
VAERS Form:2
Age:67.0
Sex:Female
Location:Wisconsin
Vaccinated:2021-03-20
Onset:2021-05-22
Submitted:0000-00-00
Entered:2021-05-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805031 / 1 RA / IM

Administered by: Unknown      Purchased by: ??
Symptoms: Cough, Fatigue, Oropharyngeal pain, COVID-19, SARS-CoV-2 test positive

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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Symptoms onset 5/22/2021 with cough, sore throat and fatigue. Tested positive for Covid-19 on 5/24/2021. Vaccinated on 3/20/2021 with Janssen.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1347542&WAYBACKHISTORY=ON


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