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

This is VAERS ID 1733659

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Case Details

VAERS ID: 1733659 (history)  
Form: Version 2.0  
Sex: Male  
Location: Foreign  
Submitted: 0000-00-00
Entered: 2021-09-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: ?
Symptoms: Asymptomatic COVID-19, Drug ineffective, SARS-CoV-2 test
SMQs:, Lack of efficacy/effect (narrow), COVID-19 (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:
Preexisting Conditions:
Diagnostic Lab Data: Test Date: 20210904; Test Name: SARS-CoV-2 RT-PCR test; Result Unstructured Data: Positive Iu international unit(s)
CDC Split Type: PTJNJFOC20210944588

Write-up: DRUG INEFFECTIVE; ASYMPTOMATIC COVID-19; This spontaneous report received from a health care professional via a Regulatory (EVHUMAN Vaccines, PT-INFARMED-B202109-620) on 23-SEP-2021 and concerned a 40 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, intramuscular, batch number: 21C16-03 expiry: UNKNOWN) 0.5 ml, 1 total, administered on 26-AUG-2021 for covid-19 immunisation. Duration of drug administration 0 days. No concomitant medications were reported. On 04-SEP-2021, the patient had asymptomatic COVID-19 and experienced drug ineffective (Possible vaccine failure). Laboratory data included: SARS-CoV-2 RT-PCR test (NR: not provided) Positive Iu international unit (s). The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the drug ineffective and asymptomatic covid-19 was not reported. This report was serious (Other Medically Important Condition). This report was associated with product quality complaint.; Reporter''s Comments: Other information: RT PCR test positive on 04-Sep-2021; Asymptomatic

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