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This is VAERS ID 1398277

History of Changes from the VAERS Wayback Machine

First Appeared on 7/23/2021

VAERS ID: 1398277
VAERS Form:2
Age:44.0
Sex:Male
Location:Foreign
Vaccinated:0000-00-00
Onset:2021-06-01
Submitted:0000-00-00
Entered:2021-06-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Other      Purchased by: ??
Symptoms: Arthralgia, Chills, Headache, Hyperpyrexia

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: 20210601; Test Name: Hyperpyrexia; Result Unstructured Data: Fever: 40.5 through 42 degrees Celsius
CDC 'Split Type': NLJNJFOC20210619367

Write-up: FEVER: 40.5 THROUGH 42 DEGREES CELSIUS; COLD CHILLS; JOINT PAIN; HEADACHE; This spontaneous report received from a consumer via a Regulatory Authority [EMEA EVHUMAN NLP, NL-LRB-00566244] concerned a 44 year old male. The patient''s weight was 76 kilograms, and height was 178 centimeters. 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: XD975 expiry: UNKNOWN)0.5 ml, 1 total dose administered on 01-JUN-2021 for covid-19 immunisation. No concomitant medications were reported. On 01-JUN-2021, the patient experienced fever: 40.5 through 42 degrees Celsius, cold chills, joint pain and headache. Laboratory data included: Hyperpyrexia (NR: not provided) Fever: 40.5 through 42 degrees Celsius. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from cold chills on 02-JUN-2021, was recovering from fever: 40.5 through 42 degrees celsius, and had not recovered from headache, and joint pain. This report was serious (Other Medically Important Condition).; Sender''s Comments: V0 -20210619367-covid-19 vaccine ad26.cov2.s-Fever: 40.5 through 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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