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This is VAERS ID 1484841

History of Changes from the VAERS Wayback Machine

First Appeared on 7/23/2021

VAERS ID: 1484841
VAERS Form:2
Age:67.0
Sex:Male
Location:Michigan
Vaccinated:2021-03-23
Onset:2021-07-18
Submitted:0000-00-00
Entered:2021-07-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK UN / -

Administered by: Private      Purchased by: ??
Symptoms: Chest X-ray abnormal, Condition aggravated, Confusional state, Cough, Lung consolidation, Infusion

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: unknown
Current Illness: unknown
Preexisting Conditions: histroy artery disease, Diabetes type 2, gerd, chronic back pain,and confusion
Allergies: Pollen
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: DId not know body site of injection Worsening confusion, exposed at a birthday party daughter wanted patient to come in / patient was very cofused per daughter patient is poor historian dry cough at exam considelation on right lower love on chest x-ray patient did an infusion on 7/12 casirivimab-imdevimab patient was admited on 7/18/2021 to hospital.

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1484841&WAYBACKHISTORY=ON


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