Adverse Event Reporting

VAERS ID 1073937
Gender Female
Age 49
StateCode
Pharmaceutical Company JANSSEN
Lot Number 1805018
Number of vaccinations
Vaccinated 2021-03-04
Onset 2021-03-04
Condition Recovered
Symptoms
  • Dizziness
  • Blood pressure increased
  • Anxiety

Current Illness

Preexisting Conditions

Other Medications

Previous Vaccinations

Allergies

Laboratory Data

None

Write-up

Started to experience anxiety and dizziness approx 1 hour after receiving vaccine.
BP elevated at time of observation (168/102).
Obesrvation time extended to 1.
5 hours.
Provided hydration and light meal.
Discharged per team member request after she stated she felt better.
Encouraged to take BP meds as directed per PCP.
Encouraged to go to ER for symptom return or additional adverse reactions per handout/Agency guidelines.