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This is VAERS ID 1466878

History of Changes from the VAERS Wayback Machine

First Appeared on 7/16/2021

VAERS ID: 1466878
VAERS Form:2
Age:50.0
Sex:Male
Location:California
Vaccinated:2021-05-03
Onset:2021-07-02
Submitted:0000-00-00
Entered:2021-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Paraesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: pharmacy don''t have data
Current Illness: pharmacy don''t have data
Preexisting Conditions: pharmacy don''t have data
Allergies: none
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt came back today 7/13/2021 and mentioned that he was having some kind of steady tingling sensation on the vaccinated arm (left) that started around July 2nd. He heard about the recently reported side effect Guillain Barre Syndrome on the news so he tried to seek out how he can report this and came back to our pharmacy. Told him we need to report thru VAERS and will reach out to him if more info is needed. He was also advised to sign up thru Vsafe for monitoring.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1466878&WAYBACKHISTORY=ON


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