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From the 9/3/2021 release of VAERS data:

This is VAERS ID 1478401



Case Details

VAERS ID: 1478401 (history)  
Form: Version 2.0  
Age: 26.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2021-05-25
Onset:2021-07-03
   Days after vaccination:39
Submitted: 0000-00-00
Entered: 2021-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 204A21A / UNK LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Fatigue
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: None.
Current Illness: None.
Preexisting Conditions: None.
Allergies: Possibly penicillin but doubtful.
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: Extreme fatigue. Starting around June 30th.


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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1478401


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