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This is VAERS ID 1698519

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History of Changes from the VAERS Wayback Machine

First Appeared on 9/17/2021

VAERS ID: 1698519
VAERS Form:2
Age:32.0
Sex:Male
Location:Pennsylvania
Vaccinated:2021-07-01
Onset:2021-07-01
Submitted:0000-00-00
Entered:2021-09-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / 1 LA / SYR

Administered by: Pharmacy      Purchased by: ??
Symptoms: Confusional state, Diarrhoea, Headache, Pyrexia, Tremor, Vision blurred

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: Suboxone 8 mg +twice daily Gabapentin 600 mg twice daily
Current Illness: None
Preexisting Conditions: Lower backL1 - L5 degenerated disc disorder, L2 hemorrhage
Allergies: None
Diagnostic Lab Data: N/A
CDC 'Split Type':

Write-up: 104.3 fever, diarrhea, confusion, headaches that are still persistent to today, shakiness in the hands and legs, blurriness in the vision still to today,

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