National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

From the 6/4/2021 release of VAERS data:

This is VAERS ID 1254014



Case Details

VAERS ID: 1254014 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Michigan  
Vaccinated:0000-00-00
Onset:2021-04-11
Submitted: 0000-00-00
Entered: 2021-04-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Blood pressure increased, Blood pressure measurement, Headache, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypertension (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: FENOFIBRATE
Current Illness: Blood cholesterol abnormal
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data: Test Name: Blood pressure; Result Unstructured Data: 150/110 mmHg; Comments: Fluctuating BP upto 150/110
CDC Split Type: USJNJFOC20210445254

Write-up: VOMIT; HEADACHE; INCREASE IN BLOOD PRESSURE; This spontaneous report received from a patient concerned a male of unspecified age. The patient''s height, and weight were not reported. The patient''s concurrent conditions included abnormal cholesterol. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose was not reported, administered on 10-APR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. Concomitant medications included fenofibrate for abnormal cholesterol. On 11-APR-2021, the subject experienced increase in blood pressure. On 11-APR-2021, the subject experienced headache. On 18-APR-2021, the subject experienced vomit. Laboratory data (dates unspecified) included: Blood pressure (NR: not provided) 150/110 mmHg. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from increase in blood pressure, headache, and vomit. This report was non-serious.


New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1254014


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