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This is VAERS ID 1591510

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History of Changes from the VAERS Wayback Machine

First Appeared on 8/27/2021

VAERS ID: 1591510
VAERS Form:2
Age:35.0
Sex:Male
Location:Ohio
Vaccinated:2021-08-06
Onset:2021-08-08
Submitted:0000-00-00
Entered:2021-08-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / 1 LA / SYR

Administered by: Pharmacy      Purchased by: ??
Symptoms: Asthenia, Blood creatine phosphokinase, C-reactive protein, Chest pain, Computerised tomogram, Electrocardiogram abnormal, Fatigue, Headache, Hypoaesthesia, Muscular weakness, Pain, Pain in extremity, Pericarditis, Pyrexia, Red blood cell sedimentation rate, Scan with contrast, Blood test, Magnetic resonance imaging

Life Threatening? Yes
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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Fiber supplement
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: Sulfa antibiotics
Diagnostic Lab Data: 8/18 CT Scan with contrast, MRI, EKG, Blood work, and physical examination ruled out stroke. 8/20 Follow-up visit with GP performed C-Reactive Protein, CK Total, and Erythrocyte Sedimentation Rate blood work. Results pending. Additional EKG performed. EKG showed abnormality consistent with Pericarditis. Began treatment as prescribed.
CDC 'Split Type':

Write-up: Initial pain and fever on 8/7/2021. Pain in left arm turned into numbness. Numbness extended down the arm and severe headaches persisted. Weakness in muscles including legs developed after about 5-6 days. Overall, extreme exhaustion and weakness after the first week. Chest pain developed. On 8/18, numbness on the left side of my face appeared. All other symptoms previously noted were present.

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