Adverse Event Reporting
| VAERS ID | 1294816 |
|---|---|
| Gender | Male |
| Age | |
| StateCode | CA |
| Pharmaceutical Company | JANSSEN |
| Lot Number | |
| Number of vaccinations | |
| Vaccinated | |
| Onset | |
| Condition | Permanent Disability |
Symptoms
- Gait inability
- Thrombosis
Current Illness
Preexisting Conditions
Comments: Unknown
Other Medications
Previous Vaccinations
Allergies
Laboratory Data
Write-up
BLOOD CLOTS; UNABLE TO WALK/TEMPORARY DISABLED; This spontaneous report received from a source from a consumer via a company representative concerned a male of unspecified age.
The patient's weight, height, and medical history were not reported.
The patient received covid-19 vaccine ad26.
cov2.
s (suspension for injection, route of administration not reported, batch number: Unknown) frequency one total, dose, start therapy date were not reported for prophylactic vaccination.
The batch number was not reported.
Per procedure, no follow-up will be requested for this case.
No concomitant medications were reported.
The consumer reported that the patient on an unspecified date experienced blood clots and was unable to walk.
The patient was under doctor care and was temporary disabled.
The action taken with covid-19 vaccine ad26.
cov2.
s was not applicable.
The patient had not recovered from blood clots, and unable to walk/temporary disabled.
This report was serious (Other Medically Important Condition, and Disability Or Permanent Damage).
; Sender's Comments: 20210502999-covid-19 vaccine ad26.
cov2.
s-Blood clots, unable to walk.
This event(s) is considered un-assessable.
The event(s) has an unknown/unclear temporal relationship, is unlabeled, and has unknown scientific plausibility.
There is no information on any other factors potentially associated with the event(s).