Adverse Event Reporting

VAERS ID 1075569
Gender Male
Age 66
StateCode MN
Pharmaceutical Company JANSSEN
Lot Number 1085018
Number of vaccinations 1
Vaccinated 2021-03-05
Onset 2021-03-05
  • Hyperhidrosis
  • Dyspnoea
  • Blood pressure increased

Current Illness

Preexisting Conditions

Other Medications

Previous Vaccinations


Laboratory Data


Patient was being monitored for 30 minutes by EMS due to anaphylaxis to Shrimp.
About 15 minutes into monitoring, the patient reported to EMS that he was feeling sweaty and had some shortness of breath.
EMS reported BP to be 171/89 and pulse of 88.
Patient stated that he does take blood pressure medication and reported that BP was elevated for him.
EMS contacted ambulance for transport to Emergency room, patient in agreement to transport.