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|History of Changes from the VAERS Wayback Machine|
|Vaccination / Manufacturer||Lot / Dose||Site / Route|
|COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN||- / UNK||- / -|
Administered by: Other Purchased by: ??
Symptoms: Chills, Fatigue, Headache, Hyperpyrexia, Myalgia, SARS-CoV-2 test positive
Life Threatening? No
Birth Defect? No
Permanent Disability? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Preexisting Conditions: Medical History/Concurrent Conditions: COVID-19
Diagnostic Lab Data: Test Date: 20201226; Test Name: SARS-CoV-2 test positive; Result Unstructured Data: Positive; Test Date: 20210601; Test Name: Hyperpyrexia; Result Unstructured Data: Fever: 40.5 up to and including 42 degrees Celsius
CDC 'Split Type': NLJNJFOC20210619230
Write-up: FEVER: 40.5 UP TO AND INCLUDING 42 DEGREES CELSIUS; COLD CHILLS; MUSCLE PAIN; FATIGUE; HEADACHE; This spontaneous report received from a consumer via a Regulatory Authority [EMEA EVHUMAN NLP, NL-LRB-00565289] concerned a 53 year old female. The patient''s weight was 75 kilograms, and height was 165 centimeters. The patient''s past medical history included covid-19. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: XD975 expiry: UNKNOWN) 0.5 ml, 1 total, administered on 31-MAY-2021 for covid-19 immunisation. No concomitant medications were reported. On 26-DEC-2020, Laboratory data included: SARS-CoV-2 test positive (NR: not provided) Positive. On 01-JUN-2021, the patient had fever: 40.5 up to and including 42 degrees Celsius. On the same day, the patient had cold chills, muscle pain, fatigue and headache. Laboratory data included: Hyperpyrexia (NR: not provided) Fever: 40.5 up to and including 42 degrees Celsius. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from fever: 40.5 up to and including 42 degrees Celsius, fatigue, headache, muscle pain, and cold chills. This report was serious (Other Medically Important Condition).; Sender''s Comments: V0: 20210619230- Covid-19 vaccine ad26.cov2.s- Fever: 40.5 up to and including 42 degrees Celsius. This event(s) is considered unassessable. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event(s).
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