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This is VAERS ID 1394683

History of Changes from the VAERS Wayback Machine

First Appeared on 6/18/2021

VAERS ID: 1394683
VAERS Form:2
Age:57.0
Sex:Male
Location:Unknown
Vaccinated:2021-05-01
Onset:2021-06-03
Submitted:0000-00-00
Entered:2021-06-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / IM

Administered by: Unknown      Purchased by: ??
Symptoms: Erythema, Joint swelling, Pruritus, Peripheral swelling

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: Nothing
Current Illness: Nothing
Preexisting Conditions: Nothing
Allergies: Nothing
Diagnostic Lab Data: Nothing
CDC 'Split Type':

Write-up: Severe itching behind right and left knee and left arm. Swelling of the left ankle and left arm. Skin erythema left arm and left and right calves Time for 7 days

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1394683&WAYBACKHISTORY=ON


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