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This is VAERS ID 1374531

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History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1374531
VAERS Form:2
Age:51.0
Sex:Male
Location:California
Vaccinated:2021-04-01
Onset:2021-04-16
Submitted:0000-00-00
Entered:2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 - / SYR

Administered by: Pharmacy      Purchased by: ??
Symptoms: Body temperature, Fatigue, Influenza like illness, Sinusitis, Tinnitus

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: escitalopram 10 mg tab, methyphenid 36 mg tab, tamsulosin .4 mg cap , vitamin D3, tumeric, vitamin b12.
Current Illness: none
Preexisting Conditions: history of sinisitus.
Allergies: erythromycin
Diagnostic Lab Data: Primary referred me to E.N.T. on I believe 05/28/2021. Urgent care doctor perscribed antibiotics on 06/01/2021.
CDC 'Split Type':

Write-up: That evening after the injection I hot very sick...flu like symptoms w/ temperature of 102 - 104 degrees. Symptoms started to fade after a few days. About a day or two after the injection I experienced extreme fatigue, Severe Sinus infection along with Tinnitus. Worst I have ever experienced. I have been put on anibiotics starting the evening of 06/01/2021 and am scheduled to see an E.N.T. doctor at the end of June 2021.

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