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This is VAERS ID 1312765

History of Changes from the VAERS Wayback Machine

First Appeared on 5/14/2021

VAERS ID: 1312765
VAERS Form:2
Age:
Sex:Unknown
Location:Illinois
Vaccinated:0000-00-00
Onset:2021-05-04
Submitted:0000-00-00
Entered:2021-05-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other      Purchased by: ??
Symptoms: Expired product administered

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': USJNJFOC20210507927

Write-up: VACCINE DRAWN UP IN SYRINGE POSSIBLY ADMINISTERED PAST THE 6 HOUR EXPIRATION; This spontaneous report received from a pharmacist . 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: Unk) dose, start therapy date were not reported for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 04-MAY-2021, the subject experienced vaccine drawn up in syringe possibly administered past the 6 hour expiration. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of vaccine drawn up in syringe possibly administered past the 6 hour expiration was not reported. This report was non-serious.

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