Adverse Event Reporting

VAERS ID 1120621
Gender Male
Age 18
StateCode OR
Pharmaceutical Company JANSSEN
Lot Number 1805018
Number of vaccinations 1
Vaccinated 2021-03-17
Onset 2021-03-17
Condition Recovered
Symptoms
  • Fatigue
  • Pyrexia
  • Headache
  • Electrocardiogram normal
  • Chills
  • Pain
  • Palpitations
  • Vomiting
  • Rash
  • SARS-CoV-2 test negative

Current Illness

None

Preexisting Conditions

Asthma

Other Medications

None

Previous Vaccinations

Allergies

All nuts

Laboratory Data

March18, 2021 he had ECG which was normal and covid19 test which was negative

Write-up

The day the vaccine around 8pm Patient had chills and fever 100 degrees.
Around midnight he started vomiting, had chills, fever 101, headache, body aches, extreme fatigue, racing heart 140 bpm.
I called ER and told them symptoms.
They said to bring him in.
We arrived at ER at 1am.
At ER they gave EKG, Tylenol, Toradol injection and IV fluids.
They also gave him covid19 test.
He started to feel better and he was sent home at 5am.
Two days later he had rash going down his left arm where he received the vaccine.
It was gone the next day.