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From the 9/17/2021 release of VAERS data:

This is VAERS ID 1474436



Case Details

VAERS ID: 1474436 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Male  
Location: Utah  
Vaccinated:2021-07-12
Onset:2021-07-15
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Fatigue, Headache, Respiratory tract congestion
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown.
Current Illness: Unknown.
Preexisting Conditions: Unknown.
Allergies: Unknown.
Diagnostic Lab Data: None.
CDC Split Type:

Write-up: Client called clinic 7/15/21 complaining of congestion, headache, and fatigue. Client states he expected to have these symptoms but now his family is exhibiting the same symptoms. Client was wondering if he passed his symptoms to his family. Client was educated that he cannot pass his symptoms from his COVID shot to his family, but that his family probably picked up a cold around the same time he received his vaccine.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1474436


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