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This is VAERS ID 1349040

History of Changes from the VAERS Wayback Machine

First Appeared on 5/28/2021

VAERS ID: 1349040
VAERS Form:2
Age:31.0
Sex:Female
Location:Maryland
Vaccinated:0000-00-00
Onset:2021-05-22
Submitted:0000-00-00
Entered:2021-05-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / UNK - / -

Administered by: Other      Purchased by: ??
Symptoms: Hypoaesthesia, Paraesthesia

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: patient had no known allergies.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': USJNJFOC20210544865

Write-up: TINGLING IN ARMS; NUMBNESS; This spontaneous report received from a pharmacist concerned a 31 year old female. The patient''s height, and weight were not reported. The patient''s pre-existing medical conditions included patient had no known allergies. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 203A21A, and expiry: 23-JUN-2021) dose was not reported, administered on 22-MAY-2021 for prophylactic vaccination. No concomitant medications were reported. On 22-MAY-2021, the subject experienced tingling in arms. On 22-MAY-2021, the subject experienced numbness. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from tingling in arms on 22-MAY-2021, and had not recovered from numbness. This report was non-serious.

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