National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 1228343

History of Changes from the VAERS Wayback Machine

First Appeared on 4/23/2021

VAERS ID: 1228343
VAERS Form:2
Age:47.0
Sex:Male
Location:Rhode Island
Vaccinated:2021-04-04
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808978 / UNK - / -

Administered by: Pharmacy      Purchased by: ??
Symptoms: Ageusia, Glossodynia, Head discomfort, Headache, Muscle spasms

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: None
Allergies: None
Diagnostic Lab Data: Patient contacted State hotline number and was asked to fill out this report by State Nurse who also recommended patient follow up with PCP.
CDC 'Split Type':

Write-up: Leg cramps pain especially at night. Worst with left leg. Headache and feeling heavy headedness. Lost of taste and small cramps on light side of tongue.


Changed on 5/7/2021

VAERS ID: 1228343 Before After
VAERS Form:2
Age:47.0
Sex:Male
Location:Rhode Island
Vaccinated:2021-04-04
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808978 / UNK - / -

Administered by: Pharmacy      Purchased by: ??
Symptoms: Ageusia, Glossodynia, Head discomfort, Headache, Muscle spasms

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: None
Allergies: None None
Diagnostic Lab Data: Patient contacted State hotline number and was asked to fill out this report by State Nurse who also recommended patient follow up with PCP.
CDC 'Split Type':

Write-up: Leg cramps pain especially at night. Worst with left leg. Headache and feeling heavy headedness. Lost of taste and small cramps on light side of tongue.


Changed on 5/14/2021

VAERS ID: 1228343 Before After
VAERS Form:2
Age:47.0
Sex:Male
Location:Rhode Island
Vaccinated:2021-04-04
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808978 / UNK - / -

Administered by: Pharmacy      Purchased by: ??
Symptoms: Ageusia, Glossodynia, Head discomfort, Headache, Muscle spasms

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: None
Allergies: None None
Diagnostic Lab Data: Patient contacted State hotline number and was asked to fill out this report by State Nurse who also recommended patient follow up with PCP.
CDC 'Split Type':

Write-up: Leg cramps pain especially at night. Worst with left leg. Headache and feeling heavy headedness. Lost of taste and small cramps on light side of tongue.

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1228343&WAYBACKHISTORY=ON


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