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This is VAERS ID 1477794

History of Changes from the VAERS Wayback Machine

First Appeared on 7/16/2021

VAERS ID: 1477794
VAERS Form:2
Age:25.0
Sex:Male
Location:Unknown
Vaccinated:2021-06-04
Onset:2021-07-15
Submitted:0000-00-00
Entered:2021-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 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)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: SARS CoV2 RNA PCR - NASOPHARYNGEAL SWAB - SARS-COV-2 VIRUS DETECTED (H) CDC 'Split Type':

Write-up: Patient was diagnosed positive for Covid-19 after receiving Janssen Covid-19 vaccine 4 June 2021.

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