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This is VAERS ID 1440433

History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1440433
VAERS Form:2
Age:17.0
Sex:Male
Location:Ohio
Vaccinated:2021-06-25
Onset:2021-06-25
Submitted:0000-00-00
Entered:2021-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 204A21A / 1 LA / IM

Administered by: Public      Purchased by: ??
Symptoms: Product administered to patient of inappropriate age

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: unknown
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type': 21006

Write-up: COVID19 Janssen vaccine given to individual less than 18 years of age. Individual was 17 years old.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1440433&WAYBACKHISTORY=ON


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