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This is VAERS ID 1675655

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History of Changes from the VAERS Wayback Machine

First Appeared on 9/10/2021

VAERS ID: 1675655
VAERS Form:2
Age:20.0
Sex:Male
Location:Minnesota
Vaccinated:2021-09-05
Onset:2021-09-06
Submitted:0000-00-00
Entered:2021-09-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / 1 LA / SYR

Administered by: Other      Purchased by: ??
Symptoms: Headache, Myalgia, Pyrexia, Vomiting

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: Na
Current Illness: Na
Preexisting Conditions: Na
Allergies: Na
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Headache fever muscle aches bomiting

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