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This is VAERS ID 1478401

History of Changes from the VAERS Wayback Machine

First Appeared on 7/23/2021

VAERS ID: 1478401
VAERS Form:2
Age:26.0
Sex:Male
Location:Pennsylvania
Vaccinated:2021-05-25
Onset:2021-07-03
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

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.
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&WAYBACKHISTORY=ON


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