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This is VAERS ID 1700945

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History of Changes from the VAERS Wayback Machine

First Appeared on 9/17/2021

VAERS ID: 1700945
VAERS Form:2
Age:34.0
Sex:Female
Location:New York
Vaccinated:2021-08-06
Onset:2021-09-10
Submitted:0000-00-00
Entered:2021-09-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / 1 LA / -

Administered by: Private      Purchased by: ??
Symptoms: Appendicitis, Computerised tomogram abdomen abnormal

Life Threatening? Yes
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)? Yes
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Keppra XR, Seasonique, Vitamin D, Vitamin B 12, Magnesium, Elderberry sambuccus,
Current Illness: None
Preexisting Conditions: Seizure disorder, morbid obesity
Allergies: Penicillin
Diagnostic Lab Data: CT done in ER 9/10 confirming acute appendicitis
CDC 'Split Type':

Write-up: Developed acute appendicitis approx. 5 weeks after vaccine

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