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This is VAERS ID 1486843

History of Changes from the VAERS Wayback Machine

First Appeared on 7/23/2021

VAERS ID: 1486843
VAERS Form:2
Age:36.0
Sex:Male
Location:California
Vaccinated:2021-07-07
Onset:2021-07-08
Submitted:0000-00-00
Entered:2021-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 - / SYR

Administered by: School      Purchased by: ??
Symptoms: Chills, Fatigue, Pain, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Allergy to Amoxicillin.
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: The patient experienced a fever, chills, aches, fatigue. The fever lasted 34 hours, and at the high point was at 103.6 degrees.

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