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

This is VAERS ID 1442354



Case Details

VAERS ID: 1442354 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Wyoming  
Vaccinated:0000-00-00
Onset:2021-06-29
Submitted: 0000-00-00
Entered: 2021-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 204A21A / UNK - / -

Administered by: Military       Purchased by: ?
Symptoms: Poor quality product administered, Product storage error
SMQs:, Medication errors (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
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: USJNJFOC20210666764

Write-up: VACCINE GIVEN FROM PUNCTURED VIAL THAT HAD BEEN IN THE REFRIGERATOR FOR OVER 6 HOURS; VACCINE HAD BEEN IN THE REFRIGERATOR OVER 6 HOURS; This spontaneous report received from a pharmacist 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 received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 204A21A, and expiry: 07-AUG-2021) dose was not reported, administered on 29-JUN-2021 for prophylactic vaccination. No concomitant medications were reported. On 29-JUN-2021, the subject experienced vaccine given from punctured vial that had been in the refrigerator for over 6 hours. On 29-JUN-2021, the subject experienced vaccine had been in the refrigerator over 6 hours. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the vaccine given from punctured vial that had been in the refrigerator for over 6 hours and vaccine had been in the refrigerator over 6 hours was not reported. This report was non-serious.


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