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|History of Changes from the VAERS Wayback Machine|
|Vaccination / Manufacturer||Lot / Dose||Site / Route|
|COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN||207A21A / UNK||- / -|
Administered by: Other Purchased by: ??
Symptoms: Product administered to patient of inappropriate age
Life Threatening? No
Birth Defect? No
Permanent Disability? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Diagnostic Lab Data:
CDC 'Split Type': USJNJFOC20210924202
Write-up: ADMINISTERED THE COVID-19 VACCINE TO A 17 YEAR OLD PATIENT; This spontaneous report received from a pharmacist concerned a 17 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: 207A21A, expiry: 21-SEP-2021) dose was not reported, administered on 11-SEP-2021 for prophylactic vaccination. No concomitant medications were reported. On 11-SEP-2021, the patient experienced administered the covid-19 vaccine to a 17 year old subject. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of administered the covid-19 vaccine to a 17 year old patient was not reported. This report was non-serious.
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