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From the 11/26/2021 release of VAERS data:

This is VAERS ID 1703549

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Case Details

VAERS ID: 1703549 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Tennessee  
Vaccinated:0000-00-00
Onset:2021-07-23
Submitted: 0000-00-00
Entered: 2021-09-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Adverse drug reaction, Blood test, Emotional distress, Feeling hot, Hyperhidrosis, Nausea, Pain, Pain in extremity, SARS-CoV-2 test, Vomiting, Weight decreased
SMQs:, Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Depression (excl suicide and self injury) (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Name: COVID-19 virus test; Result Unstructured Data: negative; Test Name: Blood test; Result Unstructured Data: Normal
CDC Split Type: USJNJFOC20210920770

Write-up: SUFFER; WEIGHT LOSS; SIDE EFFECTS; BOTH MY LEGS FROM THE BOTTOM OF MY FEET TO MY THIGHS STARTED HURTING ME REALLY BAD; NAUSEA, START FEELING SICK TO MY STOMACH SO I STOP EATING; VOMITING; BODY ACHES; HEAT INSIDE THAT SEEMS TO MAKE MY BODY FEEL LIKE IT WAS JUST ON FIRE; BROKE OUT IN A SWEAT SOAKING MY CLOTHES; 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, and batch number were not reported) dose was not reported, administered on 23-JUL-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 23-JUL-2021, the patient experienced heat inside that seems to make my body feel like it was just on fire. On 23-JUL-2021, the patient experienced broke out in a sweat soaking my clothes. On 23-JUL-2021, the patient experienced body aches. On an unspecified date, the patient experienced suffer, weight loss, side effects, both my legs from the bottom of my feet to my thighs started hurting me really bad, nausea, start feeling sick to my stomach so i stop eating, and vomiting. Laboratory data (dates unspecified) included: Blood test (not provided) Normal and COVID-19 virus test (not provided) negative. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from heat inside that seems to make my body feel like it was just on fire, broke out in a sweat soaking my clothes, and body aches on 26-JUL-2021, had not recovered from nausea, start feeling sick to my stomach so i stop eating, both my legs from the bottom of my feet to my thighs started hurting me really bad, vomiting, and weight loss, and the outcome of suffer and side effects was not reported. This report was non-serious.


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