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

This is VAERS ID 1744413

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Case Details

VAERS ID: 1744413 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Unknown  
Location: Pennsylvania  
Vaccinated:2021-09-23
Onset:2021-09-29
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-09-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Expired product administered
SMQs:, 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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient was administered vaccine on 9/23/21. Vaccine expiration was 9/21/21. No adverse events reported by individual.


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