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VAERS Report 2136802

Case Report Section

Détails du rapport Vaer

Âge: N/A

Genre: Female

Région : Outside US

Patient décédé?
Non
Renseignements sur les vaccins

Nom: COVID19 (COVID19 (JANSSEN))

Type : Coronavirus 2019 vaccine

Fabricant: JANSSEN

Lot: unknown


Date de réception du rapport
2022-02-24
Date à laquelle le formulaire est complèté
Date de vaccination
2021-11-02
Date d’apparition
25
Nombre de jours (date d’apparition – date de vaccination)
25
Description de l’événement indésirable

swelling of fingers; pain in limb; headache; tiredness; dark circles under eyes; this spontaneous report received from a consumer by a regulatory authority (ra, at-basgages-2022-005361) on 23-feb-2022 and concerned a 39 year old female 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, route of admin, and batch number were not reported) 1 dosage forms, one total administered on 02-nov-2021 for covid-19 immunisation. the batch number was not reported. per procedure, no follow-up will be requested for this case. no concomitant medications were reported. on 27-nov-2021, the patient experienced swelling of fingers, pain in limb, headache, tiredness, and dark circles under eyes and was hospitalized (date unspecified). the action taken with covid-19 vaccine ad26.cov2.s was not applicable. the patient had not recovered from swelling of fingers, pain in limb, headache, tiredness, and dark circles under eyes. this report was serious (hospitalization caused / prolonged)

Données de laboratoire
na
Liste des symptômes
fatigue headache pain in extremity peripheral swelling dark circles under eyes
Patient décédé?
Non
Date de décès
N/A
Anomalie congénitale
false
Vaccin administré par :
Other
Vaccin acheté par :
Inconnu
Visite d’un patient à l’urgence?
Non
Patient hospitalisé?
Oui
Séjour à l’hôpital
Non
Nombre de jours à l’hôpital
Non spécifié
Invalidité permanente?
Non
Allergies:
na
Maladie actuelle
na