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This is VAERS ID 1085536

History of Changes from the VAERS Wayback Machine

First Appeared on 3/11/2021

VAERS ID: 1085536
VAERS Form:2
Age:45.0
Sex:Male
Location:Florida
Vaccinated:2021-03-05
Onset:2021-03-07
Submitted:0000-00-00
Entered:2021-03-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1802070 / 1 RA / IM

Administered by: Other      Purchased by: ??
Symptoms: Abdominal pain, Appendicectomy, Appendicitis, Arthralgia, Computerised tomogram, Fatigue, Pyrexia, Blood test

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: levothyroxine, potassium, metformin, flomax, tadalafil, invokana,
Current Illness: none
Preexisting Conditions: diabetes, thalassemia
Allergies: none
Diagnostic Lab Data: CT Scan, Bloodwork
CDC 'Split Type':

Write-up: Initially Fever, Fatigue, Joint Pain. 2 days later pain in right abdomen, diagnosed with Appendicitis and had emergency appendectomy performed.


Changed on 5/7/2021

VAERS ID: 1085536 Before After
VAERS Form:2
Age:45.0
Sex:Male
Location:Florida
Vaccinated:2021-03-05
Onset:2021-03-07
Submitted:0000-00-00
Entered:2021-03-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1802070 / 1 RA / IM

Administered by: Other      Purchased by: ??
Symptoms: Abdominal pain, Appendicectomy, Appendicitis, Arthralgia, Computerised tomogram, Fatigue, Pyrexia, Blood test

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: levothyroxine, potassium, metformin, flomax, tadalafil, invokana,
Current Illness: none
Preexisting Conditions: diabetes, thalassemia
Allergies: none none
Diagnostic Lab Data: CT Scan, Bloodwork
CDC 'Split Type':

Write-up: Initially Fever, Fatigue, Joint Pain. 2 days later pain in right abdomen, diagnosed with Appendicitis and had emergency appendectomy performed.


Changed on 5/14/2021

VAERS ID: 1085536 Before After
VAERS Form:2
Age:45.0
Sex:Male
Location:Florida
Vaccinated:2021-03-05
Onset:2021-03-07
Submitted:0000-00-00
Entered:2021-03-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1802070 / 1 RA / IM

Administered by: Other      Purchased by: ??
Symptoms: Abdominal pain, Appendicectomy, Appendicitis, Arthralgia, Computerised tomogram, Fatigue, Pyrexia, Blood test

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: levothyroxine, potassium, metformin, flomax, tadalafil, invokana,
Current Illness: none
Preexisting Conditions: diabetes, thalassemia
Allergies: none none
Diagnostic Lab Data: CT Scan, Bloodwork
CDC 'Split Type':

Write-up: Initially Fever, Fatigue, Joint Pain. 2 days later pain in right abdomen, diagnosed with Appendicitis and had emergency appendectomy performed.

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=1085536&WAYBACKHISTORY=ON

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