National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 1222152

History of Changes from the VAERS Wayback Machine

First Appeared on 4/23/2021

VAERS ID: 1222152
VAERS Form:2
Age:50.0
Sex:Female
Location:Florida
Vaccinated:2021-04-11
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / 1 RA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Dyspnoea, Fatigue, Peripheral swelling

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: None
Current Illness: None
Preexisting Conditions: N/A
Allergies: None
Diagnostic Lab Data: N/A
CDC 'Split Type':

Write-up: Patient''s husband called about reactions after the vaccine as patient does not speak english. She experiencing trouble breathing for the whole week and feels very tired. Also reports swelling and pain in the legs and hand, significant enough to prevent her from removing her wedding ring. I recommended them to go to the emergency room as soon as possible as her symtoms resemble a possible clot. She does not have a PCP to refer her to nor does she has insurance. He agrees to take her to the emergency room.


Changed on 5/7/2021

VAERS ID: 1222152 Before After
VAERS Form:2
Age:50.0
Sex:Female
Location:Florida
Vaccinated:2021-04-11
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / 1 RA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Dyspnoea, Fatigue, Peripheral swelling

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: None
Current Illness: None
Preexisting Conditions: N/A
Allergies: None None
Diagnostic Lab Data: N/A
CDC 'Split Type':

Write-up: Patient''s husband called about reactions after the vaccine as patient does not speak english. She experiencing trouble breathing for the whole week and feels very tired. Also reports swelling and pain in the legs and hand, significant enough to prevent her from removing her wedding ring. I recommended them to go to the emergency room as soon as possible as her symtoms resemble a possible clot. She does not have a PCP to refer her to nor does she has insurance. He agrees to take her to the emergency room.


Changed on 5/14/2021

VAERS ID: 1222152 Before After
VAERS Form:2
Age:50.0
Sex:Female
Location:Florida
Vaccinated:2021-04-11
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / 1 RA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Dyspnoea, Fatigue, Peripheral swelling

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: None
Current Illness: None
Preexisting Conditions: N/A
Allergies: None None
Diagnostic Lab Data: N/A
CDC 'Split Type':

Write-up: Patient''s husband called about reactions after the vaccine as patient does not speak english. She experiencing trouble breathing for the whole week and feels very tired. Also reports swelling and pain in the legs and hand, significant enough to prevent her from removing her wedding ring. I recommended them to go to the emergency room as soon as possible as her symtoms resemble a possible clot. She does not have a PCP to refer her to nor does she has insurance. He agrees to take her to the emergency room.

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1222152&WAYBACKHISTORY=ON


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