Adverse Event Reporting

VAERS ID 1074434
Gender Male
Age 66
StateCode MO
Pharmaceutical Company JANSSEN
Lot Number 1805018
Number of vaccinations 1
Vaccinated 2021-03-04
Onset 2021-03-05
Condition
Symptoms
  • Arthralgia
  • Pyrexia
  • Headache
  • Chills
  • Malaise

Current Illness

Preexisting Conditions

DISH Renal cell carcinoma Gout

Other Medications

Lisinopril, 5 mg daily allopurinol, 400 mg daily Celebrex, 200 mg daily Fentanyl,, 150 ug/hr X 3 days Mulitvitamin Calcium + D3 1250 mg/200 U Vitamin D3, 1000 U Senna/docusate - 8.6/50 mg - daily ASA - 325 mg daily Miralaz - 17 g, daily

Previous Vaccinations

Allergies

Keflex, milk

Laboratory Data

None

Write-up

woke up with fever, chills, joint aches, headache, general malaise