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This is VAERS ID 1454232

History of Changes from the VAERS Wayback Machine

First Appeared on 7/9/2021

VAERS ID: 1454232
VAERS Form:2
Age:20.0
Sex:Male
Location:Unknown
Vaccinated:2021-03-30
Onset:2021-07-07
Submitted:0000-00-00
Entered:2021-07-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805018 / 1 LA / IM

Administered by: Military      Purchased by: ??
Symptoms: COVID-19, SARS-CoV-2 test positive

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: none
Current Illness: None noted
Preexisting Conditions: None noted
Allergies: NKDA
Diagnostic Lab Data: SARS-CoV-2 N Gene Swab on 7July2021 Virus Detected
CDC 'Split Type':

Write-up: Pt Tested positive for COVID-19 after vaccination with Janssen Vaccine and is symptomatic for COVID-19.

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