National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 1342376

History of Changes from the VAERS Wayback Machine

First Appeared on 5/28/2021

VAERS ID: 1342376
VAERS Form:2
Age:56.0
Sex:Male
Location:Nevada
Vaccinated:2021-05-01
Onset:2021-05-02
Submitted:0000-00-00
Entered:2021-05-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 RA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Arthralgia, Disturbance in attention, Fatigue, Feeling abnormal, Injection site pain, Neck pain, Pain, Pain in extremity

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Prescription medications: Amlodipine Besylate, Cymbalta, Allopurinol, Finasteride. Nutritional Supplements: Zinc, Vitamin D, NACS, Alpha Lipoic Acid, Larch Tree Arabinogalactan.
Current Illness: Trigeminal Neuralgia (since 2009)
Preexisting Conditions: Trigeminal Neuralgia (since 2009) Congenital Cervical and Spinal Stenosis
Allergies: Dark chocolate, onions, iodine, sporins.
Diagnostic Lab Data: NA
CDC 'Split Type':

Write-up: Pain in the vaccination area began about 18 hours after injection. It has not abated in 3 weeks. General body aches - mostly in feet and in upper right arm, shoulder, and neck area (C1-down to mid-shoulder), fogginess of thought, and overall tiredness and lack of sharpness since about 2-3 days post injection.

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1342376&WAYBACKHISTORY=ON


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