Adverse Event Reporting
| VAERS ID | 1076869 |
|---|---|
| Gender | Male |
| Age | 53 |
| StateCode | NY |
| Pharmaceutical Company | JANSSEN |
| Lot Number | 1805022 |
| Number of vaccinations | 1 |
| Vaccinated | 2021-03-05 |
| Onset | 2021-03-05 |
| Condition |
Symptoms
- Chest pain
- Troponin
- Electrocardiogram change
Current Illness
Patient was admitted to the hospital on 2/27/2021 with increased fatigue, memory issues, weakness, hallucinations and expressive aphasia occurring intermittently for 2 weeks.
Preexisting Conditions
anxiety depression Chronic back pain obesity seizure
Other Medications
Aspirin Sinemet lovenox Keppra Melatonin
Previous Vaccinations
Allergies
Aspirin (Bayer Brand) Penicillian Wellbutrin
Laboratory Data
3/5/2021 EKG, troponin, cardiology consult.
Patient was due to be discharge home on 3/5/2021.
Patient remains admitted to complete chest pain workup.
Write-up
patient c/o chest pain with EKG changes 90 min.
after vaccine administered.