National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 1251326

History of Changes from the VAERS Wayback Machine

First Appeared on 4/30/2021

VAERS ID: 1251326
VAERS Form:2
Age:20.0
Sex:Male
Location:Rhode Island
Vaccinated:2021-04-09
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / 1 LA / SYR

Administered by: Pharmacy      Purchased by: ??
Symptoms: Testicular pain, Urinary incontinence, Laboratory test normal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: One a day Men''s Multivitamins, Vitamin D 2000 IU.
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Al lab results within normal ranges
CDC 'Split Type':

Write-up: Right Testicular Pain / difficulty urinating


Changed on 5/7/2021

VAERS ID: 1251326 Before After
VAERS Form:2
Age:20.0
Sex:Male
Location:Rhode Island
Vaccinated:2021-04-09
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / 1 LA / SYR

Administered by: Pharmacy      Purchased by: ??
Symptoms: Testicular pain, Urinary incontinence, Laboratory test normal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: One a day Men''s Multivitamins, Vitamin D 2000 IU.
Current Illness: None
Preexisting Conditions: None
Allergies: None None
Diagnostic Lab Data: Al lab results within normal ranges
CDC 'Split Type':

Write-up: Right Testicular Pain / difficulty urinating


Changed on 5/14/2021

VAERS ID: 1251326 Before After
VAERS Form:2
Age:20.0
Sex:Male
Location:Rhode Island
Vaccinated:2021-04-09
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / 1 LA / SYR

Administered by: Pharmacy      Purchased by: ??
Symptoms: Testicular pain, Urinary incontinence, Laboratory test normal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: One a day Men''s Multivitamins, Vitamin D 2000 IU.
Current Illness: None
Preexisting Conditions: None
Allergies: None None
Diagnostic Lab Data: Al lab results within normal ranges
CDC 'Split Type':

Write-up: Right Testicular Pain / difficulty urinating

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1251326&WAYBACKHISTORY=ON


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