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VAERS ID: 1787259

AGE: UNK| SEX: F|State: FR

Description

HEADACHE; DIZZINESS; WEAKNESS; MYALGIA; BONE PAIN; This spontaneous report received from a consumer via a Regulatory Authority (RO-NMA-2021-SPCOV12702) on 12-OCT-2021 and concerned a 46 year old female. The patient's weight was 70 kilograms and height was 171 centimeters. 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: XE389 expiry: UNKNOWN) 1 dosage forms, 1 total, start therapy date was not reported for active immunisation. No concomitant medications were reported. On 01-JUN-2021, the patient experienced headache, dizziness, weakness, myalgia and bone pain. On an unspecified date, the patient was hospitalized. Number of days of hospitalization was not reported. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered with sequelae from headache, dizziness, weakness, myalgia, and bone pain. This report was serious (Hospitalization Caused / Prolonged).

Symptoms

Asthenia, Bone pain, Dizziness, Headache, Myalgia

Vaccines

VAX DATE: | ONSET DATE: 01 June 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:
        Y
        HOSPDAYS:
        X_STAY:
        DISABLE:
        RECOVD:
        N
        LAB_DATA:
        V_ADMINBY:
        OTH
        OTHER_MEDS:
        CUR_ILL:
        HISTORY:
        PRIOR_VAX:
        SPLTTYPE:
        ROJNJFOC20211023024
        FORM_VERS:
        2
        TODAYS_DATE:
        14 October 2021
        BIRTH_DEFECT:
        OFC_VISIT:
        ER_ED_VISIT:
        ALLERGIES:
        V_FUNDBY:
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