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VAERS ID: 1787258

AGE: UNK| SEX: F|State: FR

Description

NUMBNESS IN FINGERS; PAIN IN FINGERS; HEADACHE; This spontaneous report received from a consumer via a Regulatory Authority (RO-NMA-2021-SPCOV12696) on 12-OCT-2021 concerned a 45 year old female of unspecified race and ethnic origin. The patient's weight was 75 kilograms, and height was 163 centimeters. No past medical history or concurrent conditions were reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, intramuscular, batch number: 21C18-05 expiry: Unknown) dose of 1 dosage forms, 1 total administered on 06-SEP-2021 for covid-19 immunisation. No concomitant medications were reported. On 07-SEP-2021, the patient experienced headache. On an unspecified date, the patient experienced numbness in fingers, and pain in fingers. Laboratory data (dates unspecified) included a Fibrin D dimer test (NR: not provided) with a result of 800 (units unspecified). The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from headache, and had not recovered from numbness in fingers, and pain in fingers. This report was serious (Disability Or Permanent Damage).

Symptoms

Fibrin D dimer, Headache, Hypoaesthesia, Pain in extremity

Vaccines

VAX DATE: | ONSET DATE: 07 September 2021 | DAYS TO ONSET:
Vaccine TypeManufacturerVaccine NameDoseRouteSiteLot
  • COVID19
  • JANSSEN
  • COVID19 (COVID19 (JANSSEN))

        RECVDATE:
        15 October 2021
        CAGE_YR:
        CAGE_MO:
        RPT_DATE:
        DIED:
        DATEDIED:
        L_THREAT:
        ER_VISIT:
        HOSPITAL:
        HOSPDAYS:
        X_STAY:
        DISABLE:
        Y
        RECOVD:
        N
        LAB_DATA:
        Test Name: Fibrin D dimer; Result Unstructured Data: 800 (units unspecified)
        V_ADMINBY:
        OTH
        OTHER_MEDS:
        CUR_ILL:
        HISTORY:
        PRIOR_VAX:
        SPLTTYPE:
        ROJNJFOC20211022882
        FORM_VERS:
        2
        TODAYS_DATE:
        13 October 2021
        BIRTH_DEFECT:
        OFC_VISIT:
        ER_ED_VISIT:
        ALLERGIES:
        V_FUNDBY:
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