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This is VAERS ID 1442811

History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1442811
VAERS Form:2
Age:
Sex:Male
Location:Texas
Vaccinated:0000-00-00
Onset:2021-06-01
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: SARS-CoV-2 test, Suspected COVID-19

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: 202106; Test Name: COVID-19 virus test; Result Unstructured Data: Positive; Comments: home COVID-19 testing kit
CDC 'Split Type': USJNJFOC20210700575

Write-up: SUSPECTED COVID-19 INFECTION (TESTED POSITIVE FOR CORONA VIRUS BY USING COVID-19 TESTING KIT AT HOME); This spontaneous report received from a consumer concerned a male of unspecified age. 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: Unk) dose was not reported, administered on JUN-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On JUN-2021, the subject experienced suspected covid-19 infection (tested positive for corona virus by using covid-19 testing kit at home). Laboratory data included: COVID-19 virus test (NR: not provided) Positive. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of suspected covid-19 infection (tested positive for corona virus by using covid-19 testing kit at home) was not reported. This report was non-serious. This case, from the same reporter is linked to 20210666578.; Sender''s Comments: V0: Medical Assessment comment not required as per standard procedure as the case assessed as non-serious.

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