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This is VAERS ID 1450186

History of Changes from the VAERS Wayback Machine

First Appeared on 7/9/2021

VAERS ID: 1450186
VAERS Form:2
Age:52.0
Sex:Male
Location:Illinois
Vaccinated:2021-06-28
Onset:2021-06-29
Submitted:0000-00-00
Entered:2021-07-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Diarrhoea, Dizziness, Nausea

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

Write-up: PATIENT HAS BEEN EXPERIENCING NAUSEA, DIARRHEA AND DIZZINESS

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1450186&WAYBACKHISTORY=ON


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