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From the 9/10/2021 release of VAERS data:

This is VAERS ID 1439559



Case Details

VAERS ID: 1439559 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Unknown  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-06-25
Submitted: 0000-00-00
Entered: 2021-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Confusional state, Fatigue, Migraine, Myalgia, Nausea, Tinnitus, Vomiting
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Hearing impairment (narrow), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210661236

Write-up: OCCASIONAL TINNITUS; VOMITED ENTIRE QUANTITY; NAUSEA; GENERAL MUSCLE ACHING / GENERAL MYALGIA / ENTIRE BODY ACHING; FATIGUE; MIGRAINE; SOME CONFUSION; This spontaneous report received from a patient concerned a patient of unspecified age and sex. The patient''s height, and weight were not reported. No past medical history or concurrent conditions were reported. The patient experienced severe reaction when treated with rabies vaccine. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: UNKNOWN) dose was not reported, administered on 25-JUN-2021 15:30 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 25-JUN-2021, the subject experienced migraine. On 25-JUN-2021, the subject experienced some confusion. On 25-JUN-2021, the subject experienced general muscle aching / general myalgia / entire body aching. On 25-JUN-2021, the subject experienced fatigue. On 26-JUN-2021, the subject experienced occasional tinnitus. On 26-JUN-2021, the subject experienced vomited entire quantity. On 26-JUN-2021, the subject experienced nausea. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from vomited entire quantity, was recovering from fatigue, migraine, nausea, and some confusion, and had not recovered from general muscle aching / general myalgia / entire body aching, and occasional tinnitus. This report was non-serious.


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