National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

From the 10/15/2021 release of VAERS data:

This is VAERS ID 1697392



Case Details

VAERS ID: 1697392 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Male  
Location: California  
Vaccinated:2021-09-14
Onset:2021-09-14
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood pressure decreased, Dizziness, Hot flush, Immediate post-injection reaction, Pain in extremity
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Vestibular disorders (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: MULTIVITAMIN, SYMBICORT INHALER
Current Illness: NONE
Preexisting Conditions: NONE
Allergies: HORSEHAIR, SHELLFISH
Diagnostic Lab Data: NONE
CDC Split Type:

Write-up: LIGHTHEADED, DIZZY, HOT FLASHES IMMEDIATELY AFTER GIVING VACCINE. FELT VACCINE GO THROUGH ENTIRE BODY. DROP IN BLOOD PRESSURE. BP 3:30PM 92/55. 3:40PM BP 113/74. 3:47PM BP 126/80 HR 63. 3:57PM BP 128/88 HR 64. GAVE PATIENT WATER AND GRANOLA. AFTER 30 MINUTES PATIENT FELT NORMAL. FOLLWED UP WITH PATIENT 5:44PM. FELT NORMAL AND ONLY HAD ARM PAIN.


New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1697392

Government Disclaimer on use of this data


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