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From the 11/26/2021 release of VAERS data:

This is VAERS ID 1695761

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Case Details

VAERS ID: 1695761 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Male  
Location: Maryland  
Vaccinated:2021-08-16
Onset:2021-08-16
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chills, Cough, Dry mouth, Erectile dysfunction, Fatigue, Injection site pain, Libido decreased, Migraine, Pain, Paraesthesia, Pyrexia, Sneezing, Tinnitus, Tremor, Vision blurred
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Extravasation events (injections, infusions and implants) (broad), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Hearing impairment (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (broad), Sexual dysfunction (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Warafin St. John''s Wort Vitamin B12 Vitamin D3 Vitamin C Zinc Men''s Multivitamin Ginger Melatonin Apple Cider Biotin
Current Illness: None
Preexisting Conditions: Portal vein thrombosis
Allergies: Hyperactivity to Mucinex-D
Diagnostic Lab Data: 8/28: Uranalysis, Chemistry Panel, White Blood Cell Differential, and Complete Blood Count
CDC Split Type:

Write-up: 8/16: Soreness at injection site, fever 101 degrees F, chills, tremors, bodily pains, tingling in fingers and toes, migraines, dry mouth, fatigue, blurred vision, ringing in both ears, coughing, and sneezing, reduced sex drive, inability to become erect 8/17: Soreness at injection site, fever 101 degrees F, chills, tremors, bodily pains, tingling in fingers and toes, migraines, dry mouth, fatigue, coughing, and sneezing, reduced sex drive, inability to become erect 8/18: Soreness at injection site, bodily pains, migraines, dry mouth, fatigue, reduced sex drive, inability to become erect 8/19: Soreness at injection site, bodily pains, migraines, fatigue, reduced sex drive, inability to become erect 8/20: Soreness at injection site, bodily pains, migraines, fatigue, reduced sex drive, inability to become erect 8/21: Soreness at injection site, bodily pains, migraines, fatigue, reduced sex drive 8/22: Soreness at injection site, bodily pains, migraines, fatigue 8/23: Soreness at injection site, bodily pains, migraines, fatigue 8/24: Soreness at injection site, bodily pains, migraines, fatigue 8/25: Soreness at injection site, bodily pains, migraines, fatigue 8/26: Soreness at injection site, bodily pains, migraines, fatigue 8/27: Soreness at injection site, bodily pains, migraines, fatigue 8/28: Soreness at injection site, bodily pains, migraines, fatigue 8/29: Soreness at injection site, bodily pains, migraines, fatigue 8/30: Soreness at injection site, bodily pains, migraines, fatigue 8/31: Soreness at injection site, bodily pains, migraines, fatigue 9/1: Soreness at injection site, bodily pains, migraines, fatigue 9/2: Soreness at injection site, bodily pains, migraines, fatigue


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