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This is VAERS ID 1438237

History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1438237
VAERS Form:2
Age:62.0
Sex:Male
Location:California
Vaccinated:2021-06-29
Onset:2021-06-29
Submitted:0000-00-00
Entered:2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 027A21A / N/A LA / IM

Administered by: Public      Purchased by: ??
Symptoms: Interchange of vaccine products

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

Write-up: Pt. reports on this day that he wanted to receive a Pfizer vaccine in addition to his 03/12/2021 J&J vaccine R/T fear of Covid-19 variants and J&J effectiveness. He did not report the 03/12/2021 J&J vaccine to SLOPHD. Reports he is well and wanted to have the extra Covid vaccine to prevent illness. Pt. advised to not receive a 2nd dose of Pfizer. Pt. voices understanding.

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