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This is VAERS ID 1757714

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/8/2021

VAERS ID: 1757714
VAERS Form:2
Age:
Sex:Female
Location:California
Vaccinated:0000-00-00
Onset:2021-09-30
Submitted:0000-00-00
Entered:2021-10-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Other      Purchased by: ??
Symptoms: Wrong technique in product usage process, Poor quality product administered

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:
CDC 'Split Type': USJNJFOC20211000540

Write-up: PUNCTURED VIAL DOSE ADMINISTERED; WRONG TECHNIQUE IN DRUG USAGE PROCESS; This spontaneous report received from a health care professional concerned a female of unspecified age. 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: 1822809 expiry: 07-MAR-2022) dose was not reported, administered on 30-SEP-2021 for prophylactic vaccination. No concomitant medications were reported. On 30-SEP-2021, the patient experienced punctured vial dose administered. On 30-SEP-2021, the patient experienced wrong technique in drug usage process. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the punctured vial dose administered and wrong technique in drug usage process was not reported. This report was non-serious.

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