National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts.org
Search Results

This is VAERS ID 1693790

Government Disclaimer on use of this data

History of Changes from the VAERS Wayback Machine

First Appeared on 9/17/2021

VAERS ID: 1693790
VAERS Form:2
Age:28.0
Sex:Male
Location:Wisconsin
Vaccinated:2021-09-10
Onset:2021-09-11
Submitted:0000-00-00
Entered:2021-09-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Dyspnoea, Fatigue, Feeling abnormal, Nausea, Pain, Pneumonitis, Pyrexia

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: Albuteral, duoneb, symbicort, delta 8, kratom, percocet
Current Illness: Had teeth removed Wednesday September 8th, no other illnesses was in perfect health other then having to have two painful teeth extracted
Preexisting Conditions: Asthma
Allergies: Sulfa, cephelexon, ibuprofen
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Fever, fatigue, mental fogginess, difficulty breathing due to inflammation in my lungs, random sharp pain all over body, nausea. Treated by steroids and multiple duonebs at the er. At home I had to take 3 albuteral and 3 duonebs as well as 4 extra doses of my symbicort to try to control my breathing and get out under control

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1693790&WAYBACKHISTORY=ON


Copyright © 2022 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166