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This is VAERS ID 1778989

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/15/2021

VAERS ID: 1778989
VAERS Form:2
Age:63.0
Sex:Male
Location:Michigan
Vaccinated:2021-06-09
Onset:2021-10-09
Submitted:0000-00-00
Entered:2021-10-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

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

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Covid + on 10/09/2021. Hospitalized. Per ED Note: History of Present Illness 64-year-old male with a past medical history of COPD on 4 L nasal cannula, hypertension, diabetes and obesity presents to the emergency department for feeling tired. Patient states symptoms began this morning. Patient did get a vaccine for COVID-19. Patient states he is just feeling very weak. He denies fever, chills, cough, nausea, vomiting, shortness breath, chest pain, abdominal pain and urinary symptoms.

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