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This is VAERS ID 1261404

History of Changes from the VAERS Wayback Machine

First Appeared on 4/30/2021

VAERS ID: 1261404
VAERS Form:2
Age:
Sex:Female
Location:New Jersey
Vaccinated:0000-00-00
Onset:2021-04-12
Submitted:0000-00-00
Entered:2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / UNK - / -

Administered by: Other      Purchased by: ??
Symptoms: Fatigue, Hypersomnia, Rash

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: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': USJNJFOC20210445651

Write-up: MOSQUITO LIKE BITES / BUMP; SLEPT A LOT; TIRED; This spontaneous report received from a patient concerned a 55 year old female. The patient''s weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 206A21A, and expiry: UNKNOWN) dose was not reported, administered on 12-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 12-APR-2021, the subject experienced slept a lot. On 12-APR-2021, the subject experienced tired. On 15-APR-2021, the subject experienced mosquito like bites / bump. Treatment medications (dates unspecified) included: cortisone, and ethanol. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the mosquito like bites / bump, tired and slept a lot was not reported. This report was non-serious.


Changed on 5/7/2021

VAERS ID: 1261404 Before After
VAERS Form:2
Age:
Sex:Female
Location:New Jersey
Vaccinated:0000-00-00
Onset:2021-04-12
Submitted:0000-00-00
Entered:2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / UNK - / -

Administered by: Other      Purchased by: ??
Symptoms: Fatigue, Hypersomnia, Rash

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: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': USJNJFOC20210445651

Write-up: MOSQUITO LIKE BITES / BUMP; SLEPT A LOT; TIRED; This spontaneous report received from a patient concerned a 55 year old female. The patient''s weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 206A21A, and expiry: UNKNOWN) dose was not reported, administered on 12-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 12-APR-2021, the subject experienced slept a lot. On 12-APR-2021, the subject experienced tired. On 15-APR-2021, the subject experienced mosquito like bites / bump. Treatment medications (dates unspecified) included: cortisone, and ethanol. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the mosquito like bites / bump, tired and slept a lot was not reported. This report was non-serious.


Changed on 5/14/2021

VAERS ID: 1261404 Before After
VAERS Form:2
Age:
Sex:Female
Location:New Jersey
Vaccinated:0000-00-00
Onset:2021-04-12
Submitted:0000-00-00
Entered:2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / UNK - / -

Administered by: Other      Purchased by: ??
Symptoms: Fatigue, Hypersomnia, Rash

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: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': USJNJFOC20210445651

Write-up: MOSQUITO LIKE BITES / BUMP; SLEPT A LOT; TIRED; This spontaneous report received from a patient concerned a 55 year old female. The patient''s weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 206A21A, and expiry: UNKNOWN) dose was not reported, administered on 12-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 12-APR-2021, the subject experienced slept a lot. On 12-APR-2021, the subject experienced tired. On 15-APR-2021, the subject experienced mosquito like bites / bump. Treatment medications (dates unspecified) included: cortisone, and ethanol. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the mosquito like bites / bump, tired and slept a lot was not reported. This report was non-serious.

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