Adverse Event Reporting

VAERS ID 2127223
Gender Female
Age 65
StateCode IL
Pharmaceutical Company JANSSEN
Lot Number 1808986
Number of vaccinations 1
Vaccinated 2021-06-15
Onset 2021-06-17
Condition Hospitalized Life Threatening Died
Symptoms
  • Dizziness
  • Dyspnoea
  • Chest pain
  • Eye swelling
  • Gait disturbance
  • Cardiac disorder

Current Illness

Copd, breast cancer

Preexisting Conditions

Copd breast cancer

Other Medications

None

Previous Vaccinations

Allergies

Mushrooms

Laboratory Data

Write-up

Swelling of eyes, chest pain, dizzy, developed heart problems after the vaccine.
Couldn't hardly breathe, walk.