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This is VAERS ID 1778824

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/15/2021

VAERS ID: 1778824
VAERS Form:2
Age:64.0
Sex:Female
Location:Unknown
Vaccinated:2021-04-06
Onset:2021-10-09
Submitted:0000-00-00
Entered:2021-10-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / UNK RA / IM

Administered by: Unknown      Purchased by: ??
Symptoms: COVID-19, SARS-CoV-2 test positive

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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: COVID 19

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1778824&WAYBACKHISTORY=ON


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