National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 1461751

History of Changes from the VAERS Wayback Machine

First Appeared on 7/16/2021

VAERS ID: 1461751
VAERS Form:2
Age:40.0
Sex:Male
Location:Oregon
Vaccinated:2021-06-05
Onset:2021-07-02
Submitted:0000-00-00
Entered:2021-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

Administered by: Public      Purchased by: ??
Symptoms: C-reactive protein normal, Full blood count normal, Petechiae, Rash, Red blood cell sedimentation rate normal, Metabolic function test, Coagulation test normal

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: Generalized anxiety
Allergies: None
Diagnostic Lab Data: CBC, CMP, coags, ESR, and CRP were all completely normal. Hemodynamically stable, no fevers.
CDC 'Split Type':

Write-up: Developed petechial rash to bilateral lower extremities, scattered petechiae to bilateral upper extremities 3 weeks after vaccination. Denies all other medical complaints.

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1461751&WAYBACKHISTORY=ON

Government Disclaimer on use of this data


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