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This is VAERS ID 1442297

History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1442297
VAERS Form:2
Age:52.0
Sex:Female
Location:California
Vaccinated:0000-00-00
Onset:2021-06-25
Submitted:0000-00-00
Entered:2021-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / UNK - / -

Administered by: Other      Purchased by: ??
Symptoms: Abdominal pain, Back pain, Nausea, Adnexa uteri pain

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': USJNJFOC20210660739

Write-up: ABDOMINAL PAIN, CRAMPS LIKE KIDNEY PAIN OR LIKE CRAMPING THAT COMES PREMENSTRUAL; PAIN OVER THE OVARY; BACK PAIN THAT IT IS ON THE RIGHT SIDE IS THE MOST; NAUSEA; This spontaneous report received from a patient concerned a 52 year old female. 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: 201A21A, and batch number: 201A21A expiry: UNKNOWN) dose was not reported, administered on 25-JUN-2021 for prophylactic vaccination. No concomitant medications were reported. On 25-JUN-2021, the subject experienced abdominal pain, cramps like kidney pain or like cramping that comes premenstrual. On 25-JUN-2021, the subject experienced pain over the ovary. On 25-JUN-2021, the subject experienced back pain that it is on the right side is the most. On 25-JUN-2021, the subject experienced nausea. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from back pain that it is on the right side is the most, and the outcome of abdominal pain, cramps like kidney pain or like cramping that comes premenstrual, nausea and pain over the ovary was not reported. This report was non-serious.

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