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|Vaccination / Manufacturer||Lot / Dose||Site / Route|
|COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN||- / UNK||- / -|
Administered by: Other Purchased by: ??
Symptoms: Headache, Lethargy, Pain in extremity
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
Diagnostic Lab Data:
CDC 'Split Type': USJNJFOC20210718975
Write-up: LETHARGY; PAIN IN ARM; HEADACHE; This spontaneous report received from a patient concerned a 53 year old female. 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: 203A21A expiry: 07-AUG-2021) dose was not reported, administered on 02-JUL-2021 18:30 for prophylactic vaccination. No concomitant medications were reported. On 02-JUL-2021, the subject experienced pain in arm. On 02-JUL-2021, the subject experienced headache. On 03-JUL-2021, the subject experienced lethargy. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from headache, lethargy, and pain in arm. This report was non-serious. This case, from the same reporter is linked to 20210710122.
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