Adverse Event Reporting

VAERS ID 1074631
Gender Male
Age 70
StateCode NJ
Pharmaceutical Company JANSSEN
Lot Number EUA
Number of vaccinations
Vaccinated 2021-03-04
Onset 2021-03-05
Condition
Symptoms
  • Fatigue
  • Chills

Current Illness

prostate cancer

Preexisting Conditions

none

Other Medications

Afluozin Vitamin C Vitamin D

Previous Vaccinations

Allergies

none

Laboratory Data

Write-up

Little chills - fatigue nothing severe but there