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This is VAERS ID 1775893

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/15/2021

VAERS ID: 1775893
VAERS Form:2
Age:
Sex:Male
Location:Foreign
Vaccinated:0000-00-00
Onset:2021-09-30
Submitted:0000-00-00
Entered:2021-10-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1816024 / UNK - / -

Administered by: Other      Purchased by: ??
Symptoms: Paralysis

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': KRJNJFOC20211014715

Write-up: ACUTE PARALYSIS; This spontaneous report received from a health care professional via a Regulatory Authority concerned a 4 decade old male of unspecified race and ethnicity. 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: 1816024, and expiry: 1-JUL-2021) dose was not reported, 1 total administered on 12-JUN-2021 to deltoid, for an unspecified indication . No concomitant medications were reported. On 30-SEP-2021, the patient experienced acute paralysis, and was hospitalized (date unspecified). The patient received inpatient treatment The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of acute paralysis was not reported. This report was serious (Hospitalization Caused / Prolonged).; Sender''s Comments: V0: 20211014715-covid-19 vaccine ad26.cov2.s -Acute paralysis. This event(s) is considered unassessable. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event(s).

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