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This is VAERS ID 1442810

History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1442810
VAERS Form:2
Age:
Sex:Female
Location:Nebraska
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 203A21A / UNK - / -

Administered by: Other      Purchased by: ??
Symptoms: Fatigue, Lethargy, Malaise, Nausea, Vomiting

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: Comments: No known drug allergies
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': USJNJFOC20210700531

Write-up: NAUSEA; VOMITING; FELT SICK; FELT TIRED; LETHARGIC; This spontaneous report received from a patient concerned a 57 year old female. The patient''s height, and weight were not reported. The patient''s pre-existing medical conditions included no known drug allergies. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 203A21A, and 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 lethargic. On 25-JUN-2021, the subject experienced felt tired. On 26-JUN-2021, the subject experienced vomiting. On 26-JUN-2021, the subject experienced felt sick. On 29-JUN-2021, the subject experienced nausea. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from felt sick on 28-JUN-2021, was recovering from vomiting, had not recovered from lethargic, and felt tired, and the outcome of nausea was not reported. This report was non-serious.; Sender''s Comments: V0: Medical assessment comment is not required as per standard procedure as case assessed as non-serious.

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