VAERS 1450147
JANSSEN · COVID19 (COVID19 (JANSSEN)) · Charge JSN206A21A
- Staat
- NY
- Alter
- 29,0
- Geschlecht
- M
- Eingang
- 06.07.2021
- Impfdatum
- 02.07.2021
- Beginn
- 02.07.2021
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Symptomtext
Patient stated he never received a covid 19 vaccination or any other vaccination per heath questionnaire, no other form of verification is used to determine if patient is telling the truth. This writer found out due to immunization supervisor that this patient had received the Moderna vaccination prior. This writer was asked to fill out Vaers form.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Interchange of vaccine products
- Hospital-Tage
- -
- Labordaten
- unknown
- Aktuelle Erkrankungen
- None Stated
- Vorgeschichte
- HIV positive
- Andere Medikamente
- TRIUMEQ 600 MG-50 MG-300 MG TABLET
- Allergien
- None Stated
- Vorherige Impfungen
- -