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This is VAERS ID 1689314

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History of Changes from the VAERS Wayback Machine

First Appeared on 9/17/2021

VAERS ID: 1689314
VAERS Form:2
Age:54.0
Sex:Male
Location:Michigan
Vaccinated:2021-03-15
Onset:2021-09-09
Submitted:0000-00-00
Entered:2021-09-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1802068 / 1 - / -

Administered by: Public      Purchased by: ??
Symptoms: SARS-CoV-2 test positive, Asymptomatic COVID-19

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? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Aspirin 81mg PO daily Bumetanide 1mg PO BID Co-Q10 200 PO daily Crestor 5mg PO at bedtime Emergen-C Cranberry-Pmegranate 500mg PO daily Entresto 49mg-51mg PO BID Eplerenone 25mg PO daily Farxiga 10mg daily Flax Seed Oil 1200mg PO daily Ging
Current Illness: CAD CHF Class 2 obesity Esophageal reflux s/p CABG T2DM
Preexisting Conditions:
Allergies: Fenofibrate Niacin Niaspan ER Seeds Tricor
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt asymptomatic, but tested positive for COVID prior to a procedure.

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