National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 1332011

History of Changes from the VAERS Wayback Machine

First Appeared on 5/21/2021

VAERS ID: 1332011
VAERS Form:2
Age:61.0
Sex:Male
Location:Rhode Island
Vaccinated:2021-04-06
Onset:2021-05-04
Submitted:0000-00-00
Entered:2021-05-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / UNK - / -

Administered by: Pharmacy      Purchased by: ??
Symptoms: Computerised tomogram, Dizziness, Intensive care, Nausea, Orthostatic hypotension, Syncope, Dysstasia, Cardiac function test, Blood test

Life Threatening? Yes
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)? Yes
Hospitalized? Yes, days: 5     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Xaretel Flecainide aspirin Metropol amlodipine / benazepril crestor
Current Illness: Afib ... Had Web Sl implant for brain aneurysm last July ... might of had some type of infection
Preexisting Conditions: Same
Allergies: None
Diagnostic Lab Data: CT Scan lower body ...blood test ...a lot of heart test
CDC 'Split Type':

Write-up: Wasn?t able to stand up at all... nausea fainting dizziness etc... had to take rescue twice within 5 days... was in the ICCU unit at one point.. diagnosed with orthostatic hypotension

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1332011&WAYBACKHISTORY=ON


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