National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 1325874

History of Changes from the VAERS Wayback Machine

First Appeared on 5/21/2021

VAERS ID: 1325874
VAERS Form:2
Age:20.0
Sex:Male
Location:Unknown
Vaccinated:0000-00-00
Onset:2021-05-02
Submitted:0000-00-00
Entered:2021-05-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (UNKNOWN)) / UNKNOWN MANUFACTURER UNKNOWN / UNK - / -

Administered by: Other      Purchased by: ??
Symptoms: Illness

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': USJNJFOC20210527035

Write-up: SON WAS VERY SICK FOR 2 DAYS; This spontaneous report received from a parent via a company representative concerned a 20 year old male. 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: Unk) dose was not reported, administered on 02-MAY-2021 for prophylactic vaccination. The batch number was not reported. Per procedure, no follow-up will be requested for this case. No concomitant medications were reported. On 02-MAY-2021, the subject experienced son was very sick for 2 days. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from son was very sick for 2 days on 05-MAY-2021. This report was non-serious. This case, from the same reporter is linked to 20210526182.

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1325874&WAYBACKHISTORY=ON


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