National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 1293585

Government Disclaimer on use of this data

History of Changes from the VAERS Wayback Machine

First Appeared on 5/14/2021

VAERS ID: 1293585
VAERS Form:2
Age:56.0
Sex:Male
Location:Missouri
Vaccinated:2021-03-30
Onset:2021-03-30
Submitted:0000-00-00
Entered:2021-05-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Biopsy bone marrow abnormal, Leukocytosis, Myocarditis, Pyrexia, Chemotherapy, Haemophagocytic lymphohistiocytosis

Life Threatening? Yes
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? Yes, days: 34     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: GERD
Allergies: None
Diagnostic Lab Data: Hospitalized 4/3 to 5/6 Myopericarditis High fever Leukocytosis Abnormal bone marrow Treated with steroids and chemotherapy
CDC 'Split Type':

Write-up: Developed hemophagocytosis syndrome (hemophagocytic lymphohistiocytosis) resulting in hospitalization

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1293585&WAYBACKHISTORY=ON


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