National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 1453603

History of Changes from the VAERS Wayback Machine

First Appeared on 7/9/2021

VAERS ID: 1453603
VAERS Form:2
Age:
Sex:Male
Location:New Mexico
Vaccinated:0000-00-00
Onset:2021-06-01
Submitted:0000-00-00
Entered:2021-07-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / UNK - / -

Administered by: Other      Purchased by: ??
Symptoms: Nasopharyngitis, Productive cough, Injection site swelling

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': USJNJFOC20210708303

Write-up: COUGHING UP PHLEGM; GENERAL COLD-LIKE SYMPTOMS; SWELLING AT INJECTION SITE; This spontaneous report received from a patient concerned a male of unspecified age. The patient''s height, and weight were not reported. No past medical history or concurrent conditions were reported.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 042A21A, expiry: UNKNOWN) dose was not reported, administered on 22-JUN-2021 for prophylactic vaccination. No concomitant medications were reported. On JUN-2021, the subject experienced swelling at injection site. On 02-JUL-2021, the subject experienced coughing up phlegm. On 02-JUL-2021, the subject experienced general cold-like symptoms. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from swelling at injection site, and had not recovered from coughing up phlegm, and general cold-like symptoms. This report was non-serious.

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1453603&WAYBACKHISTORY=ON


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