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|History of Changes from the VAERS Wayback Machine|
|Vaccination / Manufacturer||Lot / Dose||Site / Route|
|COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN||211421A / UNK||- / -|
Administered by: Other Purchased by: ??
Symptoms: Body temperature, Pyrexia, SARS-CoV-2 test
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: Test Date: 20211004; Test Name: Body temperature; Result Unstructured Data: 99.9 F; Test Name: COVID-19 virus test; Result Unstructured Data: Negative; Test Name: COVID-19 virus test; Result Unstructured Data: Negative; Test Name: COVID-19 virus test; Result Unstructured Data: Negative.
CDC 'Split Type': USJNJFOC20211011905
Write-up: This spontaneous report received from a patient 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, and batch number: 211421A expiry: UNKNOWN) dose was not reported, administered on 21-SEP-2021 for prophylactic vaccination. No concomitant medications were reported. On 04-OCT-2021, the patient experienced fever. Laboratory data included: Body temperature (NR: not provided) 99.9 F. Laboratory data (dates unspecified) included: COVID-19 virus test (NR: not provided) Negative, Negative, Negative. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from fever on 06-OCT-2021. This report was non-serious.
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