National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

From the 4/30/2021 release of VAERS data:

This is VAERS ID 1150540



Case Details

VAERS ID: 1150540 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-03-24
Onset:2021-03-30
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-03-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / IM

Administered by: Private       Purchased by: ?
Symptoms: Atrial fibrillation, Coagulation test, Electrocardiogram, Fatigue, Headache, Laboratory test, Myalgia, Rhinorrhoea, Troponin
SMQs:, Rhabdomyolysis/myopathy (broad), Supraventricular tachyarrhythmias (narrow), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: EKG''s, baseline labs, troponin, coag''s
CDC Split Type:

Write-up: Pt had J&J vaccine 1 week ago and developed spontaneous afib with RVR rates to 150, difficult to rate control, admitted to hospital for conversion. Reports se felt myalgias, rhinorrhea, headache, and fatigue for several days. Today she is extremely tired.


New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1150540


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