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This is VAERS ID 1440882

History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1440882
VAERS Form:2
Age:18.0
Sex:Male
Location:Maryland
Vaccinated:2021-06-28
Onset:2021-06-29
Submitted:0000-00-00
Entered:2021-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 RA / SYR

Administered by: Other      Purchased by: ??
Symptoms: Asthenia, Chills, Computerised tomogram, Dizziness, Fall, Gastrooesophageal reflux disease, Headache, Nausea, Pain, Pyrexia, X-ray, Blood test, Oropharyngeal pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: XRay, CAT Scanz and blood test
CDC 'Split Type':

Write-up: I woke up very nauseous and woozy. I walked into my sisters room and fell down due to weakness. Expericed the following: Fever - 101.2, Chills, Nauseau, Sore Throat , Soreness, Acid Reflux, Headache. Went to the ER because the soreness of my throat was extreme and did not fit the normal side effects. The outcome was to take Tylenol for the fever and headache. To follow up with doctor.

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