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This is VAERS ID 1421573

History of Changes from the VAERS Wayback Machine

First Appeared on 6/25/2021

VAERS ID: 1421573
VAERS Form:2
Age:47.0
Sex:Male
Location:New York
Vaccinated:2021-05-01
Onset:2021-06-20
Submitted:0000-00-00
Entered:2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202AZIA / 1 - / IM

Administered by: Other      Purchased by: ??
Symptoms: Pain in extremity

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: Hydrocodone,xanax,fluoxetine,pantoprazole, and pepcid,meloxicam,
Current Illness: Lyme disease,
Preexisting Conditions: Lyme disease, disc degentitive disease,
Allergies: No
Diagnostic Lab Data: None yet
CDC 'Split Type':

Write-up: Have had severe nonstop pain in both arms

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1421573&WAYBACKHISTORY=ON


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