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This is VAERS ID 1367739

History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1367739
VAERS Form:2
Age:45.0
Sex:Male
Location:California
Vaccinated:2021-06-01
Onset:2021-06-01
Submitted:0000-00-00
Entered:2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 OT / SYR

Administered by: Other      Purchased by: ??
Symptoms: Anxiety, Fatigue, Paraesthesia oral

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: none
Current Illness: mystery stomach illness. doctors dont know
Preexisting Conditions: stomach issues
Allergies: none
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: slight fatigue anxiety slight but weird tingling lips (if it gets worse ill go to the urgent care but im not concerned at this time. its been tingling for about 12 hours now and i can feel the tingle going away slowly now. just teporting my findings.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1367739&WAYBACKHISTORY=ON


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