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

This is VAERS ID 1485977



Case Details

VAERS ID: 1485977 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Female  
Location: California  
Vaccinated:0000-00-00
Onset:2021-07-01
Submitted: 0000-00-00
Entered: 2021-07-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Back pain, Dizziness, Fatigue, Head discomfort, Headache, Insomnia, Pain, Palpitations, Paraesthesia, Vertigo
SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Retroperitoneal fibrosis (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Vestibular disorders (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: Alcohol use (2 - 3 glasses per week); Allergy to grains; Fibromyalgia (DIAGNOSIS 10 YEARS AGO, VERY PRONE TO THESE SYMPTOMS); Milk allergy; Non-smoker
Preexisting Conditions: Comments: No Drug abuse or illicit drug usage. patient was not pregnant at the time of the event.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210738371

Write-up: PRESSURE IN HEAD; TREMENDOUS AMOUNT OF PAIN IN THE LOWER BACK; GENERALIZED PAIN OVER BODY; FATIGUE; HEADACHE WITH PRESSURE; INTERMITTENT HEART PALPITATIONS; VERTIGO; DIZZINESS; NUMBNESS/TINGLING IN IN RIGHT HAND THEN SPREAD TO LEFT HAND.; COULDN''T SLEEP; This spontaneous report received from a patient concerned a 53 year old female. The patient''s weight was 129 pounds, and height was 68 inches. The patient''s concurrent conditions included fibromyalgia, gluten allergy, casein allergy, alcohol consumption, and non-smoker, and other pre-existing medical conditions included no drug abuse or illicit drug usage. patient was not pregnant at the time of the event.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, intramuscular, batch number: 201A21A, expiry: UNKNOWN) dose was not reported, administered on 01-JUL-2021 for prophylactic vaccination. No concomitant medications were reported. On 01-JUL-2021, the subject experienced numbness/tingling in in right hand then spread to left hand. On 01-JUL-2021, the subject experienced intermittent heart palpitations. On 01-JUL-2021, the subject experienced vertigo. On 01-JUL-2021, the subject experienced dizziness. On 01-JUL-2021, the subject experienced couldn''t sleep. On 01-JUL-2021, the subject experienced headache with pressure. On 02-JUL-2021, the subject experienced generalized pain over body. On 02-JUL-2021, the subject experienced tremendous amount of pain in the lower back. On 02-JUL-2021, the subject experienced fatigue. On 16-JUL-2021, the subject experienced pressure in head. Treatment medications (dates unspecified) included: ibuprofen. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from headache with pressure on 03-JUL-2021, was recovering from generalized pain over body, and vertigo, had not recovered from numbness/tingling in in right hand then spread to left hand., fatigue, intermittent heart palpitations, dizziness, and pressure in head, and the outcome of tremendous amount of pain in the lower back and couldn''t sleep was not reported. This report was non-serious.


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