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From the 6/11/2021 release of VAERS data:

This is VAERS ID 1261227

Case Details

VAERS ID: 1261227 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Female  
Location: Oklahoma  
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808978 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Blood pressure measurement, Body temperature, COVID-19, Dizziness, Haemoptysis, Hypertension, Paraesthesia, SARS-CoV-2 test, SARS-CoV-2 test negative
SMQs:, Peripheral neuropathy (broad), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Hypertension (narrow), Vestibular disorders (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Hypertension; Hysterectomy (Patient was in hospital overnight and discharged the next day.); Type II diabetes mellitus
Preexisting Conditions: Comments: Unknown
Diagnostic Lab Data: Test Date: 202104; Test Name: Body temperature; Result Unstructured Data: 99.8 F; Test Date: 20210406; Test Name: COVID-19 virus test negative; Result Unstructured Data: Negative; Test Date: 20210412; Test Name: COVID-19 PCR test; Result Unstructured Data: Positive; Test Date: 20210414; Test Name: Blood pressure; Result Unstructured Data: 156/81; Test Name: Blood pressure; Result Unstructured Data: 175/83
CDC Split Type: USJNJFOC20210430662

Write-up: TINGLY/NUMB HANDS; DIZZINESS; HIGH BLOOD PRESSURE; COUGHED UP 3 DARK GREEN CHUNKS THAT HAD SOME BLOOD; COVID-19 INFECTION; This spontaneous report received from a patient concerned a 44 year old female. The patient''s height, and weight were not reported. The patient''s concurrent conditions included hysterectomy, type 2 diabetes, and hypertension. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1808978, and batch number: 1808978 expiry: UNKNOWN) dose was not reported, administered on 30-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On APR-2021, Laboratory data included: Body temperature (NR: not provided) 99.8 F. On 06-APR-2021, Laboratory data included: COVID-19 virus test negative (NR: not provided) Negative. On 12-APR-2021, the subject experienced covid-19 infection. On 12-APR-2021, the subject experienced coughed up 3 dark green chunks that had some blood. Laboratory data included: COVID-19 PCR test (NR: not provided) Positive. On 14-APR-2021, the subject experienced tingly/numb hands. On 14-APR-2021, the subject experienced dizziness. On 14-APR-2021, the subject experienced high blood pressure. Laboratory data included: Blood pressure (NR: not provided) 156/81. Laboratory data (dates unspecified) included: Blood pressure (NR: not provided) 175/83. Treatment medications (dates unspecified) included: guaifenesin, and oxycodone hydrochloride/paracetamol. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from dizziness, tingly/numb hands, and covid-19 infection, and the outcome of high blood pressure and coughed up 3 dark green chunks that had some blood was not reported. This report was non-serious.; Sender''s Comments: V0: Medical assessment comments not required as per standard procedure as the case is considered non serious.

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