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 1330998



Case Details

VAERS ID: 1330998 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Female  
Location: Iowa  
Vaccinated:2021-05-19
Onset:2021-05-19
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dizziness, Dizziness postural, Eye movement disorder, Muscle twitching, Tremor, Unresponsive to stimuli
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dyskinesia (broad), Dystonia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Vestibular disorders (broad), Ocular motility disorders (narrow), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Pt states issues with blood draws, other vaccines, and colonoscopy procedure
Other Medications: Aspirin, Linsinopril/HCTZ, Escitalopram, Atorastatin, Dexamethasone, Hydrocodone/APAP,
Current Illness: None
Preexisting Conditions: HTN, Hyperchloesterolemia, Depression
Allergies: NKA
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Patient felt lightheaded after receiving vaccination, upon standing, lightheaded ness increased. She sat down and we propped up her feet and gave her water. She then began to tremor and her arms were twitching. Her eyes rolled back in her head and she was unresponsive to questions, but breathing was normal. With fanning and cold compress she recovered and EMS did not need to be called. The time of vaccination to recovery was about 5 minutes total.


New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1330998


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