National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 1371401

History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1371401
VAERS Form:2
Age:60.0
Sex:Female
Location:Minnesota
Vaccinated:2021-05-01
Onset:2021-06-01
Submitted:0000-00-00
Entered:2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 RA / IM

Administered by: Unknown      Purchased by: ??
Symptoms: COVID-19, SARS-CoV-2 test positive

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: ASTHMA, HTN
Allergies:
Diagnostic Lab Data: POSITIVE COVID-19 BY PCR ON 5/17/2021
CDC 'Split Type':

Write-up: INITIALLY ADMITTED ON 5/17/2021 TO HOSPITAL AND SUBSEQUENTLY TESTED POSITIVE FOR COVID-19, $g14 DAYS POST VACCINATION. NOW ADMITTED TO ANOTHER HOSPITAL ON 6/1/2021 FOR ARDS.

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1371401&WAYBACKHISTORY=ON


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