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This is VAERS ID 1412105

History of Changes from the VAERS Wayback Machine

First Appeared on 7/23/2021

VAERS ID: 1412105
VAERS Form:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other      Purchased by: ??
Symptoms: Chills, Fatigue, Headache, Hyperpyrexia, Malaise, Myalgia

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:
Diagnostic Lab Data: Test Date: 20210604; Test Name: Hyperpyrexia; Result Unstructured Data: Fever: 40.5 to 42 degrees Celsius
CDC 'Split Type': NLJNJFOC20210623167

Write-up: FEELING UNWELL; FATIGUE; MUSCLE PAIN; FEVER: 40.5 TO 42 DEGREES CELSIUS; HEADACHE; COLD CHILLS; This spontaneous report received from a consumer via a Regulatory Authority [EMEA EVHUMAN NLP, NL-LRB-00569703] concerned a 44-year-old female patient of unspecified race and ethnic origin. The patient''s weight was 98 kilograms, and height was 176 centimeters. No past medical history or concurrent conditions were reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of administration was not reported, batch number: XD 985 and expiry: unknown) 0.5 ml, 1 total, administered on 04-JUN-2021 for covid-19 immunisation. No concomitant medications were reported. On 04-JUN-2021, the patient experienced fever of 40.5 to 42 degrees Celsius (hyperpyrexia), cold chills and headache. On 05-JUN-2021, the patient experienced muscle pain, fatigue and felt unwell. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from cold chills on 05-JUN-2021, and headache on 06-JUN-2021, was recovering from fatigue, muscle pain, and fever: 40.5 to 42 degrees Celsius, and had not recovered from feeling unwell. This report was serious (Other Medically Important Condition).; Sender''s Comments: V0: 20210623167- covid-19 vaccine ad26.cov2.s- fever of 40.5 to 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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