National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 1464482

History of Changes from the VAERS Wayback Machine

First Appeared on 7/16/2021

VAERS ID: 1464482
VAERS Form:2
Age:44.0
Sex:Male
Location:Idaho
Vaccinated:2021-05-28
Onset:2021-07-03
Submitted:0000-00-00
Entered:2021-07-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / 1 AR / SYR

Administered by: Private      Purchased by: ??
Symptoms: Chest X-ray normal, Chills, Cough, Dyspnoea, Electrocardiogram normal, Hypoaesthesia, Influenza like illness, Myalgia, Nasal congestion, Influenza virus test negative, SARS-CoV-2 test negative

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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: None
Allergies: Neosporin
Diagnostic Lab Data: Flu test negative Covid test negative Chest X-ray clear EKG normal
CDC 'Split Type':

Write-up: Flu like symptoms. Stuffy nose, cough, shortness of breath, muscle aches, chills. Numbness in the whole right arm from shoulder to fingertips.

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1464482&WAYBACKHISTORY=ON


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