Adverse Event Reporting

VAERS ID 1074476
Gender Female
Age 24
StateCode OH
Pharmaceutical Company JANSSEN
Lot Number 1802068
Number of vaccinations 1
Vaccinated 2021-03-03
Onset 2021-03-03
Condition Recovered
Symptoms
  • Fatigue
  • Headache
  • Dizziness
  • Chills
  • Pain

Current Illness

none

Preexisting Conditions

cerebral palsy, anxiety

Other Medications

sertraline 50 mg HS Kelnor 1/35, 1 tab daily melatonin 300 mcg HS

Previous Vaccinations

Allergies

Sulfa- rash, headache, flushing

Laboratory Data

Write-up

Severe chills, headache, and body aches starting approximately 5.
5 hours post-vaccination.
Treated with acetaminophen 1g PO.
Fatigue, headache, and dizziness beginning the following morning and persisting until approximately 9pm on 3/4/21.
Treatment with acetaminophen every 6 hours as needed.
After 9pm on 3/4/21, complete resolution of symptoms.