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This is VAERS ID 1442783

History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1442783
VAERS Form:2
Age:29.0
Sex:Female
Location:Oklahoma
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 UNKNOWN / UNK - / -

Administered by: Other      Purchased by: ??
Symptoms: Body temperature, Pyrexia

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: Test Date: 20210629; Test Name: Body temperature; Result Unstructured Data: 102 F
CDC 'Split Type': USJNJFOC20210666897

Write-up: FEVER OF 102F; This spontaneous report received from a parent concerned a 29 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, intramuscular, batch number: Unknown) dose was not reported, administered on 29-JUN-2021 11:00 for prophylactic vaccination .The batch number was not reported and has been requested. No concomitant medications were reported. On 29-JUN-2021, the subject experienced fever. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from fever. This report was non-serious.

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