National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

From the 11/26/2021 release of VAERS data:

This is VAERS ID 1350574

Government Disclaimer on use of this data



Case Details

VAERS ID: 1350574 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2021-03-16
Onset:2021-03-30
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 2021-05-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805025 / 1 RA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Cardiopulmonary exercise test, Catheterisation cardiac, Computerised tomogram, Coronary artery disease, Echocardiogram, Electrocardiogram, Hypoaesthesia, Microvascular coronary artery disease, Pain in extremity, Swelling, Thrombosis, Ultrasound scan
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Peripheral neuropathy (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Thrombophlebitis (broad), Guillain-Barre syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Other ischaemic heart disease (narrow), Tendinopathies and ligament disorders (broad), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Prednisone
Current Illness:
Preexisting Conditions: Autoimmune disease Asthma
Allergies: Compazine Pork, citrus fruit, walnuts, melons, hazelnuts, and oranges
Diagnostic Lab Data: CT Cardiopulmonary test Multiple EKG Ultrasound Transthoracic Echo cardiogram
CDC Split Type: vsafe

Write-up: Both sides of my neck were very swollen. There was extreme pain on my right arm. The pain was severe and numbness in my finger. I went to the ER and they said I have radial thrombus, a clot in the radial artery. Before the shot, my heart was checked multiple times and I was fine. After the shot, my coronary arteries are now very small. There are now luminal changes inside my coronary arteries which are still now very small. I now have been diagnosed with CAD. I had a heart cath on March 29. My arm is still in a lot of pain. My neck is still swollen.


New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1350574


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