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From the 9/17/2021 release of VAERS data:

This is VAERS ID 1469627



Case Details

VAERS ID: 1469627 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Male  
Location: North Carolina  
Vaccinated:0000-00-00
Onset:2021-07-01
Submitted: 0000-00-00
Entered: 2021-07-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1821286 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Poor quality product administered, Product storage error
SMQs:, Medication errors (narrow)

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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210722862

Write-up: ONE DOSE WAS INADVERTENTLY ADMINISTERED THIS MORNING FROM PUNCTURED VIAL THAT WAS LEFT IN REFRIGERATOR YESTERDAY; THE VIAL WAS LEFT IN THE FRIDGE PUNCTURED FOR AROUND 12 HOURS; This spontaneous report received from a pharmacist concerned a 30 year old male. 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: 1821286 expiry: 06-SEP-2021) dose was not reported, administered on 09-JUL-2021 for prophylactic vaccination. No concomitant medications were reported. On JUL-2021, the subject experienced the vial was left in the fridge punctured for around 12 hours. On 09-JUL-2021, the subject experienced one dose was inadvertently administered this morning from punctured vial that was left in refrigerator yesterday. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the the vial was left in the fridge punctured for around 12 hours and one dose was inadvertently administered this morning from punctured vial that was left in refrigerator yesterday was not reported. This report was non-serious.


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