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This is VAERS ID 1070546

History of Changes from the VAERS Wayback Machine

First Appeared on 3/11/2021

VAERS ID: 1070546
VAERS Form:2
Age:26.0
Sex:Male
Location:Nebraska
Vaccinated:2021-03-03
Onset:2021-03-03
Submitted:0000-00-00
Entered:2021-03-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

Administered by: Work      Purchased by: ??
Symptoms: Burning sensation, Erythema, Eye pain, Hyperhidrosis, Hypoaesthesia, Injection site pain, Loss of consciousness, Muscular weakness, Nausea, Pain in extremity, Paraesthesia, Vision blurred, Grip strength decreased, Injection site streaking, Immediate post-injection reaction

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamin D3 gummies 200mcg PO QD
Current Illness: None
Preexisting Conditions: None
Allergies: NKDA
Diagnostic Lab Data: HOSPITAL DID NONE, all that was given was children?s liquid benedryl in the ambulance
CDC 'Split Type':

Write-up: Immediate burning in both arms. Unable to hold a pencil to fill out card after receiving vaccine. Weakness in upper extremities. Tingling, pain and numbness in both arms, red streaks appeared on the left arm going further up on to the shoulder, the were visible and painful for about 90 mins. Sweating. Nausea. Blurred vision. Loss of consciousness. Headache behind the eyes.

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