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This is VAERS ID 1442371

History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1442371
VAERS Form:2
Age:30.0
Sex:Unknown
Location:New Jersey
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 205A21A / UNK - / -

Administered by: Other      Purchased by: ??
Symptoms: Chills, Disturbance in attention, Fatigue, Feeling hot, Headache, Influenza like illness, Insomnia, Myalgia, Nightmare, Pain, Pyrexia, Illness

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: ESTROGEN
Current Illness: Abstains from alcohol; Non-smoker; Seasonal allergy; Transgender hormonal therapy
Preexisting Conditions: Comments: The patient had no history of drug abuse or illicit drug use.
Allergies:
Diagnostic Lab Data: Test Date: 20210629; Test Name: Fever; Result Unstructured Data: 101.5 - 102 F
CDC 'Split Type': USJNJFOC20210667911

Write-up: REALLY SICK; TROUBLE FOCUSING; TROUBLE SLEEPING; BURNING UP; FLU-LIKE SYMPTOMS; BAD DREAMS; BODY SORENESS; CHILLS; TIREDNESS; FEVERISH; SPLITTING HEADACHE; MUSCLE PAIN; This spontaneous report received from a patient concerned a 30 year old of unspecified sex. The patient''s weight was 125 pounds, and height was 67 inches. The patient''s concurrent conditions included non-alcohol user, non-smoker, takes medication for transgender care - estradial/estrogen, and seasonal allergies, and other pre-existing medical conditions included the patient had no history of drug abuse or illicit drug use. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 205A21A expiry: 07-AUG-2021) dose was not reported, administered on 29-JUN-2021 for prophylactic vaccination. Concomitant medications included estradiol. On 29-JUN-2021, the subject experienced really sick. On 29-JUN-2021, the subject experienced trouble focusing. On 29-JUN-2021, the subject experienced trouble sleeping. On 29-JUN-2021, the subject experienced burning up. On 29-JUN-2021, the subject experienced flu-like symptoms. On 29-JUN-2021, the subject experienced bad dreams. On 29-JUN-2021, the subject experienced body soreness. On 29-JUN-2021, the subject experienced chills. On 29-JUN-2021, the subject experienced tiredness. On 29-JUN-2021, the subject experienced feverish. On 29-JUN-2021, the subject experienced splitting headache. On 29-JUN-2021, the subject experienced muscle pain. Laboratory data included: Fever (NR: not provided) 101.5 - 102F. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the really sick, trouble focusing, trouble sleeping, burning up, flu-like symptoms, bad dreams, body soreness, tiredness, chills, feverish, splitting headache and muscle pain was not reported. This report was non-serious.

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