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From the 6/4/2021 release of VAERS data:

This is VAERS ID 1269970



Case Details

VAERS ID: 1269970 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: New York  
Vaccinated:0000-00-00
Onset:2021-04-11
Submitted: 0000-00-00
Entered: 2021-04-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Arthralgia, Back pain, Body temperature, Fatigue, Headache, Influenza like illness, Nausea, Pain, Pain in extremity, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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:
Preexisting Conditions: Medical History/Concurrent Conditions: Back disorder
Allergies:
Diagnostic Lab Data: Test Name: Body temperature; Result Unstructured Data: 99.8 F
CDC Split Type: USJNJFOC20210451355

Write-up: BACK PAIN/LOWER AND UPPER BACK ACHINESS; WHOLE BODY ACHES; MILD HEADACHE; MILD NAUSEA; FEELING REALLY TIRED; FEVER; FLU-LIKE SYMPTOMS; WRIST PAIN; ARM PAIN/HAND /PAINFUL FEET/PAIN IN BACK OF THIG/LEG PAIN; This spontaneous report received from a patient concerned a 54 year old female. The patient''s height, and weight were not reported. The patient''s past medical history included some back problems. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 202A21A, and expiry: UNKNOWN) dose was not reported, administered on 11-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 11-APR-2021, the subject experienced arm pain/hand /painful feet/pain in back of thig/leg pain. On 12-APR-2021, the subject experienced flu-like symptoms. On 12-APR-2021, the subject experienced wrist pain. On 12-APR-2021, the subject experienced back pain/lower and upper back achiness. On 12-APR-2021, the subject experienced whole body aches. On 12-APR-2021, the subject experienced mild headache. On 12-APR-2021, the subject experienced mild nausea. On 12-APR-2021, the subject experienced feeling really tired. On 12-APR-2021, the subject experienced fever. Laboratory data (dates unspecified) included: Body temperature (NR: not provided) 99.8 F. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from flu-like symptoms, back pain/lower and upper back achiness, and whole body aches on 15-APR-2021, and wrist pain, mild headache, mild nausea, feeling really tired, and fever on 13-APR-2021, and was recovering from arm pain/hand /painful feet/pain in back of thig/leg pain. This report was non-serious. This case, from the same reporter is linked to.


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