National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 1317965

History of Changes from the VAERS Wayback Machine

First Appeared on 5/21/2021

VAERS ID: 1317965
VAERS Form:2
Age:73.0
Sex:Male
Location:California
Vaccinated:2021-04-27
Onset:2021-05-04
Submitted:0000-00-00
Entered:2021-05-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / UNK LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Arthralgia, Asthenia, Chills, Fatigue, Hypersomnia, Pain, Peripheral swelling, Musculoskeletal stiffness, Motor dysfunction, SARS-CoV-2 test negative

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: 5-10 days after "flu" shots has flu like systems for 1-2 days.
Other Medications: Losartan, Inderal LA, Testosterone cream, and OTC vitamins
Current Illness:
Preexisting Conditions: BP is a little high for the past year.
Allergies: NKANone
Diagnostic Lab Data: NEG for the virus, 10 days after the injection.
CDC 'Split Type':

Write-up: 6 days after injection woke with soreness in all joints, stiffness, fatigue. Now on day 10, the S/S are getting worst. Fingers are swollen,. I can''t grasp or pinch things. I must use both hands to hold a glass or cup. Very weak, sleeping 16-18 hours a day. At times I get very chilled and start to shiver. Never have had a fever, loss of taste, or smell. I tested NEG for the virus on day 3 (10 days after receiving the vaccine). Soreness is turned into pain. Feels like full-blown RA and if I was black I would be thinking sickle-cell because of the general pain.

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1317965&WAYBACKHISTORY=ON


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