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This is VAERS ID 1727013

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History of Changes from the VAERS Wayback Machine

First Appeared on 9/24/2021

VAERS ID: 1727013
VAERS Form:2
Age:43.0
Sex:Male
Location:Puerto Rico
Vaccinated:2021-09-09
Onset:2021-09-10
Submitted:0000-00-00
Entered:2021-09-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 LA / IM

Administered by: Other      Purchased by: ??
Symptoms: Rash

Life Threatening? No
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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: I took OTC Acetaminophen tablet. Before been vaccinated with the janssen Covid 19 dose.
Current Illness: I was recovering from a shoulder injury prior to the vaccination date.
Preexisting Conditions: Hemorrhoids.
Allergies: I had severe reaction to the chickenpox vaccine in 2020
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: I had a big rash in my left forearm that lasted 11 days.

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