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This is VAERS ID 1425858

History of Changes from the VAERS Wayback Machine

First Appeared on 6/25/2021

VAERS ID: 1425858
VAERS Form:2
Age:
Sex:Male
Location:Illinois
Vaccinated:0000-00-00
Onset:2021-06-04
Submitted:0000-00-00
Entered:2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other      Purchased by: ??
Symptoms: Hypokinesia, Insomnia, Muscle spasms, Pain in extremity

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: Sulfonamide allergy
Preexisting Conditions: Medical History/Concurrent Conditions: Aortic bypass (ROUGHLY 2 YEARS AGO.); Leg cramps; Poor peripheral circulation
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': USJNJFOC20210651143

Write-up: MUSCLE CRAMPS IN LEGS, ARMS, FEET; COULD NOT MOVE ARM /HAVE DIFFICULTY MOVING ARM; DISRUPTING SLEEP; RIGHT ARM BEING SORE EVERY OTHER DAY; This spontaneous report received from a patient concerned a 61 year old male. The patient''s height, and weight were not reported. The patient''s past medical history included major surgery - aorta bypass, legs cramping prior to the surgery, and almost no blood circulating towards legs, and concurrent conditions included sulfa allergy. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 207A21A expiry: 23-JUN-2021) dose was not reported, administered on 03-JUN-2021 for prophylactic vaccination. No concomitant medications were reported. On 04-JUN-2021, the subject experienced muscle cramps in legs, arms, feet. On 04-JUN-2021, the subject experienced could not move arm /have difficulty moving arm. On 04-JUN-2021, the subject experienced disrupting sleep. On 04-JUN-2021, the subject experienced right arm being sore every other day. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from muscle cramps in legs, arms, feet, right arm being sore every other day, disrupting sleep, and could not move arm /have difficulty moving arm. This report was non-serious.

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