Adverse Event Reporting

VAERS ID 1831971
Gender Male
Age 45
StateCode
Pharmaceutical Company JANSSEN
Lot Number 1822811
Number of vaccinations 1
Vaccinated 2021-10-26
Onset 2021-10-29
Condition Hospitalized Life Threatening Permanent Disability
Symptoms
  • Blood test
  • Abdominal pain
  • Urine analysis
  • Appendicectomy
  • Appendicitis
  • Computerised tomogram abdomen abnormal

Current Illness

None

Preexisting Conditions

Asthma & Allergies

Other Medications

None

Previous Vaccinations

Allergies

Something in the Iodine family.

Laboratory Data

Blood test.
Friday, 29 October CT Scan.
Friday, 29 October Urinalysis.
Friday, 29 October

Write-up

Appendicitis.
- J&J vaccine received on Tuesday, 26 October, at a time of 1530.
- Friday, 29 October, at a time of 0230 I woke up with severe abdominal pain.
- Friday, 29 October, at 1430 I was having emergency surgery to remove my appendix.