Adverse Event Reporting

VAERS ID 1070546
Gender Male
Age 26
StateCode NE
Pharmaceutical Company JANSSEN
Lot Number
Number of vaccinations 1
Vaccinated 2021-03-03
Onset 2021-03-03
Condition
Symptoms
  • Pain in extremity
  • Hypoaesthesia
  • Erythema
  • Hyperhidrosis
  • Paraesthesia
  • Nausea
  • Injection site pain
  • Immediate post-injection reaction
  • Loss of consciousness
  • Eye pain
  • Muscular weakness
  • Burning sensation
  • Vision blurred
  • Injection site streaking
  • Grip strength decreased

Current Illness

None

Preexisting Conditions

None

Other Medications

Vitamin D3 gummies 200mcg PO QD

Previous Vaccinations

Allergies

NKDA

Laboratory Data

HOSPITAL DID NONE, all that was given was children?s liquid benedryl in the ambulance

Write-up

Immediate burning in both arms.
Unable to hold a pencil to fill out card after receiving vaccine.
Weakness in upper extremities.
Tingling, pain and numbness in both arms, red streaks appeared on the left arm going further up on to the shoulder, the were visible and painful for about 90 mins.
Sweating.
Nausea.
Blurred vision.
Loss of consciousness.
Headache behind the eyes.