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From the 9/10/2021 release of VAERS data:

This is VAERS ID 1453598



Case Details

VAERS ID: 1453598 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: New Jersey  
Vaccinated:0000-00-00
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-07-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Chest discomfort, Chest pain, Dyspnoea, Hypoaesthesia, Hypokinesia, Mobility decreased, Pain
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Parkinson-like events (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Tendinopathies and ligament disorders (broad), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Patient had no medical history, no known allergies to medications and not taking any medications regularly.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210703857

Write-up: NUMBNESS IN THE ARM AND WHOLE BODY; DIFFICULTY IN BREATHING; CHEST PAIN; FELT LIKE COULDN''T MOVE BODY; COULDN''T MOVE HAND; PRESSURE IN CHEST; SHARP PAIN; This spontaneous report received from a patient via a company representative concerned an 18 year old male. The patient''s height, and weight were not reported. The patient''s pre-existing medical conditions included patient had no medical history, no known allergies to medications and not taking any medications regularly. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: not reported, expiry date: unknown) dose was not reported,1 total, administered in on an unspecified date in JUN-2021 for prophylactic vaccination. The batch number was not reported. The Company is unable to perform follow-up to request batch/lot numbers. No concomitant medications were reported. On an unspecified date in JUN-2021, after 20-25 minutes of vaccination, the patient experienced difficulty in breathing, numbness, chest pain and felt like he could not move his body. All these events were subsided within 15-20 minutes. On 29-Jun-2021, patient experienced the events again. The patient experienced the numbness in whole body then numbness subsided to the arm. The patient was not able to move his hand and experienced the numbness in his hand. The patient experienced sharp pain. On 29-Jun-2021, the patient was admitted to the hospital. It was reported that by the time of patient admitted to the hospital, sharp pain was slightly improved but still felt numbness. The patient also experienced the pressure on chest and the numbness was improved. The number of days of hospitalization were not reported. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from sharp pain and numbness in the arm and whole body, and the outcome of felt like could not move body, difficulty in breathing, chest pain, pressure in chest and could not move hand was not reported. This report was serious (Hospitalization Caused / Prolonged).; Sender''s Comments: V0-20210703857-Covid-19 vaccine ad26.cov2.s- Numbness in the arm and whole body, difficulty in breathing, chest pain, felt like couldn''t move body, couldn''t move hand, pressure in chest, sharp pain. This event(s) is considered unassessable. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event(s).


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