National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

From the 5/7/2021 release of VAERS data:

This is VAERS ID 1136672



Case Details

VAERS ID: 1136672 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-03-22
Onset:2021-03-26
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-03-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805029 / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: swelling at the site lasting 1 day
Other Medications: Carvedilol, Topiramate, Buspirone, Aspirin, Fluoxetine, Clopidogrel, Amlodipine, Atrovastatin, Melatonin
Current Illness:
Preexisting Conditions: CHF, Migraines, Depression,
Allergies: Imitrex, Keppra, Compazine, Morphine
Diagnostic Lab Data: no testing
CDC Split Type:

Write-up: Swelling at injection site started within 15 minutes of injection over the next day the site grew to golf ball size with redness and heat very painful. Injection site continues to be golf ball size, hot to touch, and red and purple in the area now day 5.


New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1136672


Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166