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This is VAERS ID 1391971

History of Changes from the VAERS Wayback Machine

First Appeared on 6/18/2021

VAERS ID: 1391971
VAERS Form:2
Age:46.0
Sex:Male
Location:New York
Vaccinated:2021-06-03
Onset:2021-06-04
Submitted:0000-00-00
Entered:2021-06-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Myalgia

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:
Current Illness:
Preexisting Conditions: .
Allergies: NKA
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: PATIENT HAS EXPERIENCED MUSCLE PAIN FROM THE SHOULDER TO THE TOE OF THE LEFT SIDE OF HIS BODY FROM 06/04/2021 UNTIL NOW . THE PAIN HAS PERSISTED AND NOT GOTTEN ANY BETTER. HE WENT TO MASSAGE PARLOR ON JUNE 7,2021 FOR MASSAGE , THE PAIN WAS GETTING WORSE AFTER MASSAGE.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1391971&WAYBACKHISTORY=ON


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