National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

From the 7/23/2021 release of VAERS data:

This is VAERS ID 1315705



Case Details

VAERS ID: 1315705 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:0000-00-00
Onset:2021-05-02
Submitted: 0000-00-00
Entered: 2021-05-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Body temperature, Fatigue, Influenza like illness, Musculoskeletal discomfort, Pain in extremity, Pyrexia, Sensory disturbance
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20210502; Test Name: Body temperature; Result Unstructured Data: 102 F
CDC Split Type: USJNJFOC20210505260

Write-up: FELT LIKE TRUCK HIT ME; FLU- LIKE SYMPTOMS; EXTREME MUSCLE DISCOMFORT AND SENSITIVE HIPS AND IN LOWER BACK TO SIDE; SORE ARM; FATIGUE; FEVER; This spontaneous report received from a consumer concerned a 52 year old female. The patient''s weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 202A21A, and batch number: 202A21A expiry: UNKNOWN) dose was not reported, administered on 01-MAY-2021 for prophylactic vaccination. No concomitant medications were reported. On 02-MAY-2021, the subject experienced felt like truck hit me. On 02-MAY-2021, the subject experienced flu- like symptoms. On 02-MAY-2021, the subject experienced extreme muscle discomfort and sensitive hips and in lower back to side. On 02-MAY-2021, the subject experienced sore arm. On 02-MAY-2021, the subject experienced fatigue. On 02-MAY-2021, the subject experienced fever. Laboratory data included: Body temperature (NR: not provided) 102 F. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from flu- like symptoms, and fever on 03-MAY-2021, was recovering from felt like truck hit me, and had not recovered from extreme muscle discomfort and sensitive hips and in lower back to side, sore arm, and fatigue. This report was non-serious.


New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1315705


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