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This is VAERS ID 1374226

History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1374226
VAERS Form:2
Age:
Sex:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:2021-06-01
Submitted:0000-00-00
Entered:2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other      Purchased by: ??
Symptoms: Body temperature, Fatigue, Pain, Pyrexia

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:
Allergies:
Diagnostic Lab Data: Test Date: 20210603; Test Name: Body temperature; Result Unstructured Data: 101.5 F
CDC 'Split Type': USJNJFOC20210607427

Write-up: BODY ACHES/EVERYWHERE AROUND BODY; FEVER/EXTRA HIGH; VERY EXHAUSTED/EXHAUSTED AGAIN; This spontaneous report received from a patient concerned a female of unspecified age. The patient''s height, and weight were not reported. No past medical history or concurrent conditions were reported.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unk) dose was not reported, administered on 31-MAY-2021 for prophylactic vaccination. The batch number was not reported. The Company is unable to perform follow-up to request batch/lot numbers. No concomitant medications were reported. On 01-JUN-2021, the subject experienced very exhausted/exhausted again. On 03-JUN-2021, the subject experienced body aches/everywhere around body. On 03-JUN-2021, the subject experienced fever/extra high. Laboratory data included: Body temperature (NR: not provided) 101.5 F. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from very exhausted/exhausted again, fever/extra high, and body aches/everywhere around body. This report was non-serious.

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