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This is VAERS ID 1696795

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History of Changes from the VAERS Wayback Machine

First Appeared on 9/17/2021

VAERS ID: 1696795
VAERS Form:2
Age:40.0
Sex:Female
Location:Texas
Vaccinated:2021-09-10
Onset:2021-09-12
Submitted:0000-00-00
Entered:2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 LA / SYR

Administered by: Private      Purchased by: ??
Symptoms: Arthralgia, Pain in extremity, Paraesthesia, Ultrasound scan normal

Life Threatening? No
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: Vitamin C, D, Zinc
Current Illness: None
Preexisting Conditions: None
Allergies: Sulfa drugs
Diagnostic Lab Data: Ultrasound to look for blood clots. No clots found.
CDC 'Split Type':

Write-up: Pain in both legs, tingling, joint pain.

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