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This is VAERS ID 1435869

History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1435869
VAERS Form:2
Age:
Sex:Male
Location:Michigan
Vaccinated:0000-00-00
Onset:2021-06-26
Submitted:0000-00-00
Entered:2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 710127 / UNK - / -

Administered by: Other      Purchased by: ??
Symptoms: Abdominal pain upper, Somnolence

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': USJNJFOC20210660805

Write-up: SLEEPINESS; STOMACH HURTS; This spontaneous report received from a parent concerned a 29 year old male. The patient''s height, and weight were not reported. 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: 710127, and expiry: UNKNOWN) dose was not reported, administered on 25-JUN-2021 for prophylactic vaccination. No concomitant medications were reported. On 26-JUN-2021, the subject experienced sleepiness. On 26-JUN-2021, the subject experienced stomach hurts. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from sleepiness, and stomach hurts. This report was non-serious.

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