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This is VAERS ID 1759756

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/8/2021

VAERS ID: 1759756
VAERS Form:2
Age:28.0
Sex:Male
Location:California
Vaccinated:2021-10-02
Onset:2021-10-02
Submitted:0000-00-00
Entered:2021-10-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Pharmacy      Purchased by: ??
Symptoms: Angina pectoris, Confusional state, Dizziness, Dyskinesia, Fatigue, Headache, Malaise, Moaning, Unresponsive to stimuli, Vomiting

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: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: None performed yet but plan to tomorrow
CDC 'Split Type':

Write-up: -Head jerking -not responding -confusion -lost understanding of where and what was happening - I called for help, while my husband (patient) stood up and started moaning and swearing in pain -grabbed heart while groaning, ?ahhh my heart? -technician came out and instructed him to lay on ground and raise legs -said he was dizzy and sick to his stomach -raised legs for 15 min before deciding to leave and go home - while driving home, he asked me to pull over - he vomited in a parking lot -arrived home, (30 min drive) he went straight to the bathroom said he needed to vomit again -laid on bedroom floor with feet propped up as instructed -couldn?t walk much -by 8:00 pm he was well enough to move locations and crawl in bed -did not want to walk -fell asleep -woke up the next day feeling fatigued color in face was a little better -rested more than usual the next day -complained of headache and fatigue

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