National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 1375293

Government Disclaimer on use of this data

History of Changes from the VAERS Wayback Machine

First Appeared on 6/11/2021

VAERS ID: 1375293
VAERS Form:2
Age:23.0
Sex:Female
Location:Florida
Vaccinated:2021-06-02
Onset:2021-06-02
Submitted:0000-00-00
Entered:2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / 1 LA / SYR

Administered by: Private      Purchased by: ??
Symptoms: Back pain, Dyspnoea, Rash

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Desvenlafaxine ER 50MG Once a day, Quetiapine 50 MG Once a day
Current Illness: N/A
Preexisting Conditions: ADHD, Depression, Anxiety
Allergies: No known allergies
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Rash all over body within 1 hour of the shot, Severe Lower Back pain Rash got worse and trouble breathing day after the shot

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1375293&WAYBACKHISTORY=ON


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