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

This is VAERS ID 1700758

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Case Details

VAERS ID: 1700758 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Male  
Location: California  
Vaccinated:2021-06-25
Onset:2021-07-04
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 2021-09-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Computerised tomogram head, Electrocardiogram, Fatigue, Laboratory test, Migraine, Vomiting
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: EKG CT scan of the head EKG lab work
CDC Split Type: vsafe

Write-up: I experienced migraine headaches after my vaccine. I went to the ER got a lab work, EKG test, CT scan of the head on 07-0-2021. On 07-05-2021 I went to urgent care I got IV because I was vomiting a lot. My symptoms of vomiting and migraines stopped around 07-17-2021. I also had extreme fatigue that kicked in after that and that fully subsided on 07-31-2021. I have no symptoms today.


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