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This is VAERS ID 1463022

History of Changes from the VAERS Wayback Machine

First Appeared on 7/16/2021

VAERS ID: 1463022
VAERS Form:2
Age:
Sex:Unknown
Location:Unknown
Vaccinated:0000-00-00
Onset:2021-07-03
Submitted:0000-00-00
Entered:2021-07-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Other      Purchased by: ??
Symptoms: Vaccination failure, 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: VASCEPA; FENOFIBRATE
Current Illness: LDL (take Vascepa and Fenofibrate to help try to control LDL); Triglycerides (Take Vascepa and Fenofibrate to help try to control Triglycerides.)
Preexisting Conditions: Comments: Normally in good health
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': USJNJFOC20210713929

Write-up: SUSPECTED CLINICAL VACCINATION FAILURE; SUSPECTED COVID-19 INFECTION /ANOTHER VARIANT; This spontaneous report received from a patient via a company representative concerned a patient of unspecified age and sex. The patient''s height, and weight were not reported. The patient''s concurrent conditions included ldl (low density lipoprotein), and triglycerides, and other pre-existing medical conditions included normally in good health. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin, and batch number were not reported)at a frequency of 1 total, dose was not reported, administered on 21-MAY-2021 for prophylactic vaccination. Concomitant medications included eicosapentaenoic acid ethyl ester for ldl, and triglycerides, and fenofibrate for ldl, and triglycerides. On 03-JUL-2021, the subject experienced suspected clinical vaccination failure and suspected covid-19 infection / another variant. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from suspected covid-19 infection / other variant, and the outcome of suspected clinical vaccination failure was not reported. This report was serious (Other Medically Important Condition).; Sender''s Comments: 20210713929-covid-19 vaccine ad26.cov2.s-Suspected clinical vaccination failure. This event(s) is considered not related. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There are other factors more likely to be associated with the event(s) than the drug. Specifically: SPECIAL SITUATIONS

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