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VAERS ID: 1787262

AGE: 20| SEX: F|State: FR

Description

Sleepiness; Chest pain; Fever; GENERALISED BODY PAIN; Chills; This spontaneous report received from a consumer via Regulatory Authority (RO-NMA-2021-SPCOV12751) on 12-OCT-2021 and concerned a 20 year old female of unspecified race and ethnic origin. The patient's weight was 50 kilograms, and height was 165 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 administered on 26-SEP-2021 for active immunisation. No concomitant medications were reported. On 26-SEP-2021, the patient experienced sleepiness, chest pain, fever, generalised body pain, chills and was hospitalized (date unspecified). The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from sleepiness, chest pain, fever, generalised body pain, and chills. This report was serious (Hospitalization Caused / Prolonged).

Symptoms

Chest pain, Chills, Pain, Pyrexia, Somnolence

Vaccines

VAX DATE: | ONSET DATE: 26 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:
        Y
        HOSPDAYS:
        X_STAY:
        DISABLE:
        RECOVD:
        N
        LAB_DATA:
        V_ADMINBY:
        OTH
        OTHER_MEDS:
        CUR_ILL:
        HISTORY:
        PRIOR_VAX:
        SPLTTYPE:
        ROJNJFOC20211024553
        FORM_VERS:
        2
        TODAYS_DATE:
        14 October 2021
        BIRTH_DEFECT:
        OFC_VISIT:
        ER_ED_VISIT:
        ALLERGIES:
        V_FUNDBY:
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