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From the 11/19/2021 release of VAERS data:

This is VAERS ID 1657743

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Case Details

VAERS ID: 1657743 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-08-26
Submitted: 0000-00-00
Entered: 2021-08-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Inappropriate schedule of product administration, Malaise, Pain in extremity
SMQs:, Tendinopathies and ligament disorders (broad), 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: MRNA 1273
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210858504

Write-up: MINOR SORE ARM; INAPPROPRIATE SCHEDULE OF VACCINE ADMINISTERED; DONT FEEL GOOD FOR 24 HOURS; 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. 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: Unk) dose was not reported, administered on MAR-2021 for prophylactic vaccination. The batch number was not reported. Per procedure, no follow-up will be requested for this case. Concomitant medications included mrna 1273 for prophylactic vaccination. On 26-AUG-2021, the patient experienced dont feel good for 24 hours. On 27-AUG-2021, the patient experienced inappropriate schedule of vaccine administered. On an unspecified date, the patient experienced minor sore arm. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from dont feel good for 24 hours, and the outcome of minor sore arm and inappropriate schedule of vaccine administered was not reported. This report was non-serious.


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