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This is VAERS ID 1721525

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History of Changes from the VAERS Wayback Machine

First Appeared on 9/24/2021

VAERS ID: 1721525
VAERS Form:2
Age:43.0
Sex:Female
Location:Missouri
Vaccinated:0000-00-00
Onset:2021-09-13
Submitted:0000-00-00
Entered:2021-09-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808609 / UNK - / -

Administered by: Other      Purchased by: ??
Symptoms: SARS-CoV-2 test positive, SARS-CoV-2 test

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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20210913; Test Name: COVID-19 rapid POC test; Result Unstructured Data: Positive; Comments: (unknown if antigen, antibody, or PCR)
CDC 'Split Type': USJNJFOC20210938733

Write-up: COVID-19 TEST POSITIVE; This spontaneous report received from a patient concerned a 43 year old female. 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: 1808609, expiry: UNKNOWN) dose was not reported, administered on 07-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 13-SEP-2021, the patient experienced covid-19 test positive. Laboratory data included: COVID-19 rapid POC test (NR: not provided) Positive. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of covid-19 test positive was not reported. This report was non-serious. This case, from the same reporter is linked to 20210807937.

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