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This is VAERS ID 1426495

History of Changes from the VAERS Wayback Machine

First Appeared on 6/25/2021

VAERS ID: 1426495
VAERS Form:2
Age:57.0
Sex:Male
Location:Connecticut
Vaccinated:2021-06-16
Onset:2021-06-20
Submitted:0000-00-00
Entered:2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A1A / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Asthenia, Fatigue, Mood swings, Muscular weakness, Night sweats, Decreased appetite

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: N/A
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data: N/A
CDC 'Split Type':

Write-up: Pt states weakness in his arm four days after dose, has not visited with Physician. General fatigue, weakness, excessive night sweats. States low appetite, mood swings, and possible hot flashes.

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1426495&WAYBACKHISTORY=ON

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