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

This is VAERS ID 1325854



Case Details

VAERS ID: 1325854 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-05-04
Submitted: 0000-00-00
Entered: 2021-05-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: SARS-CoV-2 test, Suspected COVID-19
SMQs:, Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

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: Premenstrual syndrome
Preexisting Conditions: Comments: The patient never had a reaction to a vaccine. She takes flu shot every year.
Allergies:
Diagnostic Lab Data: Test Date: 20210511; Test Name: COVID-19 virus test; Result Unstructured Data: Positive
CDC Split Type: USJNJFOC20210523464

Write-up: SUSPECTED COVID-19 INFECTION; This spontaneous report received from a patient via a company representative concerned a female of unspecified age. The patient''s height, and weight were not reported. The patient''s concurrent conditions included premenstrual syndrome, and other pre-existing medical conditions included the patient never had a reaction to a vaccine. she takes flu shot every year. The patient was previously treated with influenza vaccine for prophylactic vaccination. The patient received covid-19 vaccine (suspension for injection, route of admin not reported, batch number: Unk) dose was not reported, administered on 04-MAY-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 04-MAY-2021, the subject experienced suspected covid-19 infection. On 11-MAY-2021, Laboratory data included: COVID-19 virus test (NR: not provided) Positive. The action taken with covid-19 vaccine was not applicable. The outcome of suspected covid-19 infection was not reported. This report was non-serious. The suspected product quality complaint has been confirmed to be management approval - confirmed no PQC was identified within the reported complaint reported. complaint is approved for void. void: yes based on the PQC evaluation/investigation performed.; Sender''s Comments: V0: Medical assessment comments not required as per standard procedure as the case is assessed non serious.


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