| VAERS ID: |
1205906 (history) |
| Form: |
Version 2.0 |
| Age: |
34.0 |
| Sex: |
Female |
| Location: |
Indiana |
| Vaccinated: | 2021-04-01 |
| Onset: | 2021-04-01 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2021-04-13 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN |
- / 1 |
LA / SYR |
Administered by: Private Purchased by: ? Symptoms: Arthralgia,
Asthenia,
Breast feeding,
Chills,
Fatigue,
Hyperhidrosis,
Muscular weakness,
Nausea,
Pyrexia,
Sick relative SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Other Medications: Prenatal vitamins Current Illness: N/A Preexisting Conditions: N/A Allergies: N/A Diagnostic Lab Data: CDC Split Type:
Write-up: Became tired around 8pm, followed by chills, fever 101.8, sweats(taken around 12:30am), weakness, joint pain, and nausea. The fever and chills lasted around 5 hours. The following day I was weak in my hands and joints were sore. I am a breastfeeding mom and my son broke out in a rash the following day. He was brought to the doctor. No data to show a correlation though. |