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|History of Changes from the VAERS Wayback Machine|
|Vaccination / Manufacturer||Lot / Dose||Site / Route|
|COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN||1816022 / UNK||- / -|
Administered by: Other Purchased by: ??
Life Threatening? No
Birth Defect? No
Permanent Disability? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Current Illness: Abstains from alcohol; Non-smoker
Preexisting Conditions: Medical History/Concurrent Conditions: Rash; Comments: The patient had no history of drug abuse or illicit drug use.
Diagnostic Lab Data:
CDC 'Split Type': USJNJFOC20210667956
Write-up: A RASH OVER LEFT CHEST, TOP BOTTOM LIP, AND RIGHT SIDE; This spontaneous report received from a patient concerned a 60 year old female. The patient''s weight was 325 pounds, and height was 67 inches. The patient''s past medical history included a rash of the same type, and concurrent conditions included non-alcohol user, and non-smoker, 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: 1816022, expiry: UNKNOWN) dose was not reported, administered on 22-JUN-2021 for prophylactic vaccination. No concomitant medications were reported. On 25-JUN-2021, the subject experienced a rash over left chest, top bottom lip, and right side. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from a rash over left chest, top bottom lip, and right side. This report was non-serious.
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