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This is VAERS ID 1469658

History of Changes from the VAERS Wayback Machine

First Appeared on 7/16/2021

VAERS ID: 1469658
VAERS Form:2
Age:36.0
Sex:Female
Location:Minnesota
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 1808982 / UNK - / -

Administered by: Other      Purchased by: ??
Symptoms: Hypoaesthesia, Paraesthesia

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: Alcohol use; Non-smoker
Preexisting Conditions: Comments: The patient had no known drug allergies.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': USJNJFOC20210725476

Write-up: NUMBNESS IN THE ARMS AND LEGS; TINGLING OF LEFT ARM; This spontaneous report received from a patient concerned a 36 year old female. The patient''s height, and weight were not reported. The patient''s concurrent conditions included alcohol use, and non-smoker, and other pre-existing medical conditions included the patient had no known drug allergies. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1808982 expiry: 07-AUG-2021) dose was not reported, administered on 06-JUL-2021 15:15 for prophylactic vaccination. No concomitant medications were reported. On JUL-2021, the subject experienced tingling of left arm. On 06-JUL-2021, the subject experienced numbness in the arms and legs. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from numbness in the arms and legs, and the outcome of tingling of left arm was not reported. This report was non-serious.

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