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From the 10/8/2021 release of VAERS data:

This is VAERS ID 1623611



Case Details

VAERS ID: 1623611 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Male  
Location: Ohio  
Vaccinated:2021-05-17
Onset:2021-05-17
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808980 / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood cholesterol normal, Blood test normal, Blood testosterone normal, Chest X-ray normal, Chest pain, Chills, Dehydration, Electrocardiogram normal, Endothelial dysfunction, Erectile dysfunction, Fatigue, Feeling abnormal, Hot flush, Hyperhidrosis, Inflammatory marker test, Libido decreased, Myalgia, Pain in extremity, Pyrexia, Thrombin time normal, Thyroid function test normal
SMQs:, Rhabdomyolysis/myopathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (narrow), Sexual dysfunction (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Medication- Valacyclovir Supplements - MethylB12/Methylfolate Magnesium Aspartate
Current Illness: No
Preexisting Conditions: Genital herpes
Allergies: No
Diagnostic Lab Data: Chest X Ray and EKG in July 2021 - normal Blood tests in July 2021 and August 2021 for inflammation, testosterone, clotting, cholesterol, thyroid function, all came back normal. Penile and prostate exam in August 2021 - normal. Cardiologist suspects endothelial dysfunction causing erectile dysfunction
CDC Split Type:

Write-up: 6 hours after shot extreme fever, dehydration, arm pain, chills, muscle aches 24-72 hours - extreme fever with sweating, arm pain chills, muscle aches, brain fog. Arm pain lasted a week 0-2 months - brain fog, fatigue, chest pain, hot flashes, erectile dysfunction Still ongoing 3 months later - erectile dysfunction and complete loss in sexual interest


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1623611

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