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This is VAERS ID 1782401

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/15/2021

VAERS ID: 1782401
VAERS Form:2
Age:51.0
Sex:Male
Location:Iowa
Vaccinated:2021-09-30
Onset:2021-09-30
Submitted:0000-00-00
Entered:2021-10-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Pharmacy      Purchased by: ??
Symptoms: Extra dose administered

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient presented to the pharmacy to get a covid vaccine and told this reporter that he hadn''t been vaccinated yet. It turns out that he had already received a dose of the Janssen vaccine at a different pharmacy. Therefore the vaccination on 9/30/21 was unnecessary.

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