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This is VAERS ID 1394022

History of Changes from the VAERS Wayback Machine

First Appeared on 6/18/2021

VAERS ID: 1394022
VAERS Form:2
Age:
Sex:Unknown
Location:Minnesota
Vaccinated:0000-00-00
Onset:2021-06-03
Submitted:0000-00-00
Entered:2021-06-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1820095 / UNK - / -

Administered by: Other      Purchased by: ??
Symptoms: Poor quality 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:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': USJNJFOC20210612064

Write-up: VACCINE ADMINISTERED 6 HOURS POST PUNCTURING; This spontaneous report received from a pharmacist concerned multiple patients. 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: 1820095, and expiry: 04-JUL-2021) dose was not reported, administered on 03-JUN-2021 for prophylactic vaccination. No concomitant medications were reported. On 03-JUN-2021, the subject experienced vaccine administered 6 hours post puncturing. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of vaccine administered 6 hours post puncturing was not reported. This report was non-serious.

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