National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 1184801

History of Changes from the VAERS Wayback Machine

First Appeared on 4/23/2021

VAERS ID: 1184801
VAERS Form:2
Age:19.0
Sex:Male
Location:Tennessee
Vaccinated:2021-04-08
Onset:2021-04-09
Submitted:0000-00-00
Entered:2021-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 UN / IM

Administered by: Private      Purchased by: ??
Symptoms: Abdominal pain upper, Feeling abnormal, Headache, Nausea, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: montelukast
Current Illness: Tested positive for covid ~ 1 month ago but was asymptomatic
Preexisting Conditions: none
Allergies: seasonal allergies only
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient called the day after recieving his vaccine reporting vomiting. He states that the evening after receiving his vaccine he started to feel like he was being "placed under laughing gas" then around 12 am experienced stomach pain and felt nauseous but did not throw up until 1am. Spoke with him at 1130 the day after receiving his vaccine and he feels "off" and has a headache but is no longer vomiting


Changed on 5/7/2021

VAERS ID: 1184801 Before After
VAERS Form:2
Age:19.0
Sex:Male
Location:Tennessee
Vaccinated:2021-04-08
Onset:2021-04-09
Submitted:0000-00-00
Entered:2021-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 UN / IM

Administered by: Private      Purchased by: ??
Symptoms: Abdominal pain upper, Feeling abnormal, Headache, Nausea, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: montelukast
Current Illness: Tested positive for covid ~ 1 month ago but was asymptomatic
Preexisting Conditions: none
Allergies: seasonal allergies only only
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient called the day after recieving his vaccine reporting vomiting. He states that the evening after receiving his vaccine he started to feel like he was being "placed under laughing gas" then around 12 am experienced stomach pain and felt nauseous but did not throw up until 1am. Spoke with him at 1130 the day after receiving his vaccine and he feels "off" and has a headache but is no longer vomiting


Changed on 5/14/2021

VAERS ID: 1184801 Before After
VAERS Form:2
Age:19.0
Sex:Male
Location:Tennessee
Vaccinated:2021-04-08
Onset:2021-04-09
Submitted:0000-00-00
Entered:2021-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 UN / IM

Administered by: Private      Purchased by: ??
Symptoms: Abdominal pain upper, Feeling abnormal, Headache, Nausea, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: montelukast
Current Illness: Tested positive for covid ~ 1 month ago but was asymptomatic
Preexisting Conditions: none
Allergies: seasonal allergies only only
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient called the day after recieving his vaccine reporting vomiting. He states that the evening after receiving his vaccine he started to feel like he was being "placed under laughing gas" then around 12 am experienced stomach pain and felt nauseous but did not throw up until 1am. Spoke with him at 1130 the day after receiving his vaccine and he feels "off" and has a headache but is no longer vomiting

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1184801&WAYBACKHISTORY=ON


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